1043782980 NPI number — PAULINE YEGHNAZAR PECK MA, MMFT, PHD

Table of content: PAULINE YEGHNAZAR PECK MA, MMFT, PHD (NPI 1043782980)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043782980 NPI number — PAULINE YEGHNAZAR PECK MA, MMFT, PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PECK
Provider First Name:
PAULINE
Provider Middle Name:
YEGHNAZAR
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA, MMFT, PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
YEGHNAZAR
Provider Other First Name:
PAULINE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA, MMFT, PHD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1043782980
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/03/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
629 STATE ST STE 205
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANTA BARBARA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93101-7004
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-225-7374
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
629 STATE ST STE 205
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-7004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-225-7374
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/17/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  PSY30478 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)