Miss Terresha Y Peten, is a
Community/behavioral Health based in Phoenix, Arizona. Miss Terresha Y Peten is licensed to practice in * (Not Available) (license number ) and her current practice location is
2444 W Bloch Rd, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at
(779) 248-1040.
NPI number for Miss Terresha Y Peten is 1053902254 and her current mailing address is 4915 W Lynne Ln, Laveen, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053902254.
Healthcare Provider's Profile
Full Name | Miss Terresha Y Peten |
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Gender | Female |
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Speciality | Community/behavioral Health |
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Location | 2444 W Bloch Rd, Phoenix, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053902254
- Provider Enumeration Date: 01/30/2021
- Last Update Date: 01/30/2021
Medical Identifiers
Medical identifiers for Miss Terresha Y Peten such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053902254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Terresha Y Peten is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Terresha Y Peten, 4915 W Lynne Ln, Laveen, AZ 85339-4240 Ph: (779) 248-1040 | Miss Terresha Y Peten, 2444 W Bloch Rd, Phoenix, AZ 85041-2930 Ph: (779) 248-1040 |
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