Alyssa Peck
Psychologist, School in Powell, OH. Individual provider (NPI-1).
NPI number1982158739
StatusActive
Last updated in NPPESJul 24, 2023
Details
- NPI
- 1982158739
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Peck
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2016
- Certification date
- Jul 24, 2023
- Last updated
- Jul 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | OH3227777 | OH | Yes |
| 103K00000X | Behavior Analyst | 1-21-49994 | OH |
Practice location
6831 Prosperity LnPowell, OH 43065-0350
Phone 419-341-7901
Mailing address
6831 Prosperity LnPowell, OH 43065-0350
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