Edyl Zarah Y Peck, | |
3305 Sunnyvale Ave, Reno, NV 89509-5056 | |
(775) 374-0497 | |
Not Available |
Full Name | Edyl Zarah Y Peck |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 3305 Sunnyvale Ave, Reno, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831757707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP-2327 (Nevada) | Primary |
Provider Name | Play On Words, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982263489 PECOS PAC ID: 9032595715 Enrollment ID: O20221004000927 |
Mailing Address | Practice Location Address |
---|---|
Edyl Zarah Y Peck, 3305 Sunnyvale Ave, Reno, NV 89509-5056 Ph: (775) 374-0497 | Edyl Zarah Y Peck, 3305 Sunnyvale Ave, Reno, NV 89509-5056 Ph: (775) 374-0497 |
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