Individual
DR. GREG ALAN PEETOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
20470 N LAKE PLEASANT RD STE 106, PEORIA, AZ 85382
(714) 474-6836
(623) 933-8625
Mailing address
20470 N LAKE PLEASANT RD STE 106, PEORIA, AZ 85382-9708
(714) 474-6836
(623) 933-8625
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
26262
CA
103TC0700X
Clinical Psychologist
Primary
PSY3097
AZ
Other
Enumeration date
12/21/2005
Last updated
06/07/2019
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