Provider Demographics
NPI:1316823297
Name:STEPANIAN, PEGGY A (MS CWCII)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:A
Last Name:STEPANIAN
Suffix:
Gender:F
Credentials:MS CWCII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WINDSOR ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-6543
Mailing Address - Country:US
Mailing Address - Phone:805-863-5490
Mailing Address - Fax:
Practice Address - Street 1:500 WINDSOR ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93458-6543
Practice Address - Country:US
Practice Address - Phone:805-863-5490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach