Michael James Peacock
NPI #1538613948 in Tehachapi, California
Provider Information
- NPI Number
- 1538613948
- Entity Type
- Individual
- Name
- Michael James Peacock
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Aug 15, 2016
- Last Updated
- Mar 13, 2019
Practice Location
- Address
- 113 E F ST
- City
- Tehachapi
- State
- California
- ZIP Code
- 93561-1710
- Phone
- (661) 822-8223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Case Manager/Care Coordinator |
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