Richard L Peck in Dallas - Clinical Child & Adolescent
Richard L Peck - NPI 1881624971
Richard L Peck is a Clinical Child & Adolescent in Dallas, Texas. Richard L Peck practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Richard L Peck is 1881624971. The last update date is 2013-11-07.
Richard L Peck's current location address is 4111 Country Brook Dr, Dallas, Texas. You can contact this provider via phone number 9722504331 and fax number 9722480460. The mailing address for Richard L Peck is 4111 Country Brook Dr, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard L Peck |
|---|---|
| Address | 4111 Country Brook Dr, Dallas, Texas |
| Phone Number | 9722504331 |
| Fax Number | 9722480460 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1881624971 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2013-11-07 |
Provider Mailing Address Detail
| Address | 4111 Country Brook Dr |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752875006 |
| Phone Number | 9722504331 |
| Fax Number | 9722480460 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 23637 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identification code assigned to Richard L Peck by the Centers for Medicare & Medicaid Services?
The Richard L Peck has been issued the NPI (National Provider Identifier) 1881624971, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Richard L Peck's facilities are geographically located?
The facilities of Richard L Peck are physically situated at the following location: 4111 Country Brook Dr, Dallas, TX, 752875006.
What is the Richard L Peck's specialty and taxonomy code?
The Richard L Peck's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
When did the Richard L Peck receive its 1881624971?
The Richard L Peck was issued its 1881624971 on 2006-07-04, which is the date when the organization was assigned this unique identifier.
As of what date were the Richard L Peck's details last updated?
The information pertaining to the Richard L Peck, including its address, specialty, and other details, was most recently updated on 2013-11-07.