Peck, Emily Ann

Peck, Emily Ann is an individual health care provider with primary practice located at 200 24Th St , Richmond CA 94804-1804. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Peck, Emily Ann can be contacted via phone (510) 412-9200.

Contact Information

Primary practice address
200 24Th St Richmond CA 94804-1804
Phone: (510) 412-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1730595950
LBN Legal business name Peck, Emily Ann
Credentials LCSW, PPSC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2014
Last updated Jan 27th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730595950 NPPES
California Other 80166 BOARD OF BEHAVIORAL SCIENCES
California Other 106502 BOARD OF BEHAVIORAL SCIENCES

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