Individual
PETER E. MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 638-2744
Mailing address
PO BOX 752991, LAS VEGAS, NV 89136-2991
(702) 638-2744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5683-C
NV
1041C0700X
Clinical Social Worker
Primary
IC-473
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507624
—
NV
Enumeration date
10/04/2006
Last updated
12/23/2024
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