Peddy, Andrew Thomas

Peddy, Andrew Thomas is an individual health care provider with primary practice located at 770 W Ridge Rd , Wytheville VA 24382-1187. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Peddy, Andrew Thomas can be contacted via phone (276) 223-3200.

Contact Information

Primary practice address
770 W Ridge Rd Wytheville VA 24382-1187
Phone: (276) 223-3200
Fax: (276) 223-0617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701004802 Virginia

Profile Details

NPI number 1881910289
LBN Legal business name Peddy, Andrew Thomas
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2010
Last updated Apr 12th, 2010 - about 16 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 1881910289 NPPES
Virginia MEDICAID 004945298

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