NPI 1104858695

Gretchen Gimpel Peacock

Practitioner Psychologist Logan, UT

Practice location

Address: 2810 Old Main Hl Department of Psychology, Logan, UT 84322-2810
Phone: (435) 797-0721
Fax: (435) 797-1448

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 326646-2501 (UT)

Other Psychologist providers in Utah →

Registry record

NPI: 1104858695
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2006
Record last updated: 8 Jul 2007

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.