Individual
MRS. SUSAN LISA PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., M.P.A.-HSA,
Contact information
Practice address
4293 CUTTING HORSE CIRCLE, RENO, NV 89519
(775) 787-7261
Mailing address
4293 CUTTING HORSE CIRCLE, RENO, NV 89519
(775) 787-7261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
104216
TX
235Z00000X
Speech-Language Pathologist
2202006168
VA
235Z00000X
Speech-Language Pathologist
6540
CA
235Z00000X
Speech-Language Pathologist
Primary
SP-143
NV
Other
Enumeration date
03/21/2016
Last updated
03/21/2016
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