Provider Demographics
NPI:1932073970
Name:DEVLIN, PEYTON J
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:J
Last Name:DEVLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9948 GREEN DRIVE
Mailing Address - Street 2:N/A
Mailing Address - City:WINDHAM
Mailing Address - State:OH
Mailing Address - Zip Code:44288
Mailing Address - Country:US
Mailing Address - Phone:234-699-8467
Mailing Address - Fax:
Practice Address - Street 1:10400 BLACKLICK EASTERN RD
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-8235
Practice Address - Country:US
Practice Address - Phone:234-699-8467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator