NPI 1003118662
Peggy Lynn Fendley, MED
Practice location
- Address
- 3407 Shamrock CT, Gautier, MS 39553-6429
- Phone
- (228) 497-0690
- Fax
- (228) 497-1363
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003118662
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Dec 2010
- Record last updated
- 2 Dec 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.