Individual
DR. PEGGY GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 390-3698
(904) 390-3512
Mailing address
NEMOURS CHILDREN&APOS S CLINIC, PO BOX 409992, ATLANTA, GA 30384-0001
(904) 390-3610
(904) 288-5890
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY0005187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000700103A
—
GA
Enumeration date
08/20/2006
Last updated
04/30/2008
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