| Pbsi | |
|
4732 N Oracle Rd Suite 316 Tucson AZ 85705-1674 | |
| (520) 887-0985 | |
| (520) 887-5338 |
| Full Name | Pbsi |
|---|---|
| Speciality | Psychologist |
| Location | 4732 N Oracle Rd, Tucson, Arizona |
| Authorized Official Name and Position | Denny L Peck (ADMINISTRATOR) |
| Authorized Official Contact | 5208870985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pbsi 4732 N Oracle Rd Suite 316 Tucson AZ 85705-1674 Ph: (520) 887-0985 | Pbsi 4732 N Oracle Rd Suite 316 Tucson AZ 85705-1674 Ph: (520) 887-0985 |
| NPI Number | 1871694281 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 02/28/2008 |
| Medicare PECOS PAC ID | 7517041676 |
|---|---|
| Medicare Enrollment ID | O20080227000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871694281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 274 (Arizona) | Primary |
| Provider Name | Denny L Peck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962660498 PECOS PAC ID: 0547345266 Enrollment ID: I20080701000405 |
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