Individual provider · Type 1 NPI

Gretchen Gimpel Peacock

Psychologist · Logan, UT

NPI number 1104858695 Active

Practice location

2810 Old Main Hl, Department Of Psychology
Logan, UT 84322-2810

Fax (435) 797-1448

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X326646-2501 (UT)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1104858695

Gretchen Gimpel Peacock's National Provider Identifier is 1104858695, issued on Jul 7, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Logan, UT. The record was last updated on Jul 8, 2007.