Individual
DR. JOHN WILLIAM PEHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1024 J ST STE 412, MODESTO, CA 95354-0844
(209) 577-1159
(209) 823-8189
Mailing address
1024 J ST STE 412, MODESTO, CA 95354-0844
(209) 577-1159
(209) 823-8189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5304
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY053040
—
CA
Enumeration date
06/22/2006
Last updated
07/09/2007
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