Provider Demographics
NPI:1972358885
Name:PEELMAN, ARMANDO (EDD, MC)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:PEELMAN
Suffix:
Gender:M
Credentials:EDD, MC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11222 W MONTE VISTA RD
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-5071
Mailing Address - Country:US
Mailing Address - Phone:480-296-9017
Mailing Address - Fax:
Practice Address - Street 1:11222 W MONTE VISTA RD
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-5071
Practice Address - Country:US
Practice Address - Phone:480-296-9017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-14312101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health