SearchIdaho104100000X

Brian Peck, LMSW

NPI 1447537436 · on the registry since 2011 · sole proprietor

Practice

Address
2076 S Eagle Rd
Meridian, ID 83642
Phone
(208) 860-6675
Fax
(208) 955-7330
Organisation at this address
Northwest Neurobehavioral Health, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-02-22

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