Provider Demographics
NPI:1831654854
Name:PELTIER, ASHLEY SHEA
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:SHEA
Last Name:PELTIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 INDIANOLA RD
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-9403
Mailing Address - Country:US
Mailing Address - Phone:707-267-7812
Mailing Address - Fax:
Practice Address - Street 1:124 INDIANOLA RD
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-9403
Practice Address - Country:US
Practice Address - Phone:707-267-7812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator