Provider Demographics
NPI:1134954894
Name:PEERY, CHARLOTTE LEE
Entity type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:LEE
Last Name:PEERY
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 1:216 ENCINAL DR
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-2109
Mailing Address - Country:US
Mailing Address - Phone:530-526-4838
Mailing Address - Fax:
Practice Address - Street 1:857 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-2721
Practice Address - Country:US
Practice Address - Phone:530-528-7303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach