Search › California › 101Y00000X
Katie Peckham
NPI 1811480379 · on the registry since 2018
Practice
- Address
- 693 W Bullard Ave
Fresno, CA 93704 - Phone
- (559) 916-2813
- Organisation at this address
- Fresh Start Youth Center Incorporated
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Additional practice sites
- 1730 W Walnut Ave, Visalia, CA
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-14
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 California