| David E Peaco,phd,llc | |
|
600 Medical Dr Ste 205 Wentzville MO 63385-3426 | |
| (636) 332-5050 | |
| (636) 327-4723 |
| Full Name | David E Peaco,phd,llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 600 Medical Dr Ste 205, Wentzville, Missouri |
| Authorized Official Name and Position | David E Peaco (SOLE MEMBER) |
| Authorized Official Contact | 6363325050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David E Peaco,phd,llc 600 Medical Dr Wentzville MO 63385-3426 Ph: (636) 332-5050 | David E Peaco,phd,llc 600 Medical Dr Ste 205 Wentzville MO 63385-3426 Ph: (636) 332-5050 |
| NPI Number | 1114384815 |
|---|---|
| Provider Enumeration Date | 01/26/2016 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114384815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 01175 (Missouri) | Primary |
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