Provider Demographics
NPI:1578392262
Name:PECA, CAMEA (PHD)
Entity type:Individual
Prefix:
First Name:CAMEA
Middle Name:
Last Name:PECA
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 1:14799 W SURREY DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-4256
Mailing Address - Country:US
Mailing Address - Phone:602-422-1581
Mailing Address - Fax:
Practice Address - Street 1:14799 W SURREY DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-4256
Practice Address - Country:US
Practice Address - Phone:602-422-1581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral