Joellen M Peters is a Clinical in Austin, Texas. Joellen M Peters practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joellen M Peters is 1164634986. The last update date is 2007-07-08.
Joellen M Peters's current location address is 1810 Alta Vista Ave, Austin, Texas. You can contact this provider via phone number 5126271308 and fax number 5124405747. The mailing address for Joellen M Peters is 1810 Alta Vista Ave, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joellen M Peters |
|---|---|
| Address | 1810 Alta Vista Ave, Austin, Texas |
| Phone Number | 5126271308 |
| Fax Number | 5124405747 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1164634986 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1810 Alta Vista Ave |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787043151 |
| Phone Number | 5126271308 |
| Fax Number | 5124405747 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 3-1552 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique provider identifier assigned to Joellen M Peters?
The Joellen M Peters has been issued the NPI (National Provider Identifier) 1164634986 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Joellen M Peters located?
The Joellen M Peters is located at 1810 Alta Vista Ave, Austin, TX 787043151.
What is Joellen M Peters's area of expertise and its corresponding taxonomy classification?
The Joellen M Peters's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1164634986 assigned to Joellen M Peters?
The Joellen M Peters was issued its 1164634986 on 2007-05-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Joellen M Peters, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Joellen M Peters, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC