Provider Demographics
NPI:1730559873
Name:CLAUDE, PETER RAYMOND II (CATC 1)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:RAYMOND
Last Name:CLAUDE
Suffix:II
Gender:M
Credentials:CATC 1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17270 ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508-9523
Mailing Address - Country:US
Mailing Address - Phone:951-780-2541
Mailing Address - Fax:951-780-5809
Practice Address - Street 1:17270 ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92508-9523
Practice Address - Country:US
Practice Address - Phone:951-780-2541
Practice Address - Fax:951-780-5809
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)