SearchIdaho101YP2500X

Matthew Peck, LPC

NPI 1285393744 · on the registry since 2021

Practice

Address
1755 N Westgate Dr Ste 260
Boise, ID 83704
Phone
(208) 373-0790
Fax
(208) 373-0816
Organisation at this address
Red Fox Home Care Llc
Treasure Valley Neuropathy Relief Center Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho