Provider Demographics
NPI:1891855250
Name:PEGHER, NANCY LORRAINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:LORRAINE
Last Name:PEGHER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 MAYFAIR DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1144
Mailing Address - Country:US
Mailing Address - Phone:412-508-9751
Mailing Address - Fax:413-521-2253
Practice Address - Street 1:125 MAYFAIR DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1144
Practice Address - Country:US
Practice Address - Phone:412-508-9751
Practice Address - Fax:413-521-2253
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016142103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical