Provider Demographics
NPI:1447369715
Name:VOLTERS, PEGGY LYNN (MS, PCCS, IMFT)
Entity type:Individual
Prefix:MRS
First Name:PEGGY
Middle Name:LYNN
Last Name:VOLTERS
Suffix:
Gender:F
Credentials:MS, PCCS, IMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 CONGRESS PARK DR STE C
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4098
Mailing Address - Country:US
Mailing Address - Phone:937-242-3298
Mailing Address - Fax:
Practice Address - Street 1:925 CONGRESS PARK DR STE C
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-4098
Practice Address - Country:US
Practice Address - Phone:937-242-3298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0005587101YM0800X
OHF024106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist