MRS. MARIANNE PECK MFT NPI 1487674636

NPI Information

NPI: 1487674636
Provider Name: MRS. MARIANNE PECK, MFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1101 STANDIFORD AVE
SUITE B 2
MODESTO, CA
ZIP 95350
Phone: (209) 631-7099
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MRS. Marianne Peck, MFT is a mental health counselor in Modesto, CA. MRS. Marianne Peck, MFT NPI is 1487674636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1101 STANDIFORD AVE
SUITE B 2
MODESTO, CA
ZIP 95350-982
Phone: (209) 631-7099
Fax: (209) 522-5134

The enumeration date for this NPI number is 7/20/2006 and was last updated on 12/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MFC17999	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	770044810	OTHER	CALIFORNIA	T.I.D.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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