| Doctor Name: | MS. PEGGY L ANDERSON |
| NPI Number: | 1922128693 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PLADC |
| License Number: | P-431 |
| Business Practice Address: | 204 1st St Suite A5 Sergeant Bluff, IA - 510548588 |
| Business Phone Number: | 7129432787 |
| Business Fax Number: | |
| Mailing Address: | 607 S Westcott St, SIOUX CITY |
| State: | IA |
| Postal Code: | 511061063 |
| Phone Number: | 7122232270 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 01/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | P-431 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |