Provider Demographics
NPI:1184789679
Name:PEACHER, ROSEMARY KEHOE (PHD)
Entity type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:KEHOE
Last Name:PEACHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 413
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37077-0413
Mailing Address - Country:US
Mailing Address - Phone:615-826-0347
Mailing Address - Fax:615-826-9147
Practice Address - Street 1:394 W MAIN ST
Practice Address - Street 2:SUITE B9
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3348
Practice Address - Country:US
Practice Address - Phone:615-826-0347
Practice Address - Fax:615-826-9147
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP2054103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
099705OtherVALUE OPTIONS
TN3688866Medicaid
44008OtherUNITED BEHAVIORAL HEALTH
1037001OtherFIRST HEALTH
5184713OtherAETNA
1041311OtherCIGNA BEHAVIORAL HEALTH
TN4087226OtherBLUE CROSS
44008OtherUNITED BEHAVIORAL HEALTH