Gretchen Gimpel Peacock

NPI #1104858695 in Logan, Utah

Provider Information

NPI Number: 1104858695
Entity Type: Individual
Name: Gretchen Gimpel Peacock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Jul 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2810 OLD MAIN HL
Address 2: DEPARTMENT OF PSYCHOLOGY
City: Logan
State: Utah
ZIP Code: 84322-2810
Phone: (435) 797-0721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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