Provider Demographics
NPI:1457727257
Name:BIESINGER, PEGGY RAE
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:RAE
Last Name:BIESINGER
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:PO BOX 3133
Mailing Address - Street 2:
Mailing Address - City:TONOPAH
Mailing Address - State:NV
Mailing Address - Zip Code:89049-3133
Mailing Address - Country:US
Mailing Address - Phone:775-622-7876
Mailing Address - Fax:
Practice Address - Street 1:601 EAST ST
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-5368
Practice Address - Country:US
Practice Address - Phone:702-913-5214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-15
Last Update Date:2015-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor