Individual
MR. PHILLIP JAMES PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. CCC-SLP
Contact information
Practice address
1110 N 10TH ST, BEATRICE, NE 68310-2039
(402) 223-7267
(402) 223-6511
Mailing address
1110 N 10TH ST, BEATRICE, NE 68310-2039
(402) 223-7267
(402) 223-6511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1040
NE
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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