DR. MOE PECK PH.DATRLPC NPI 1831308980

NPI Information

NPI: 1831308980
Provider Name: DR. MOE PECK, PH.D,ATR,LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5617 ADAMS AVE
AUSTIN, TX
ZIP 78756
Phone: (512) 517-5860
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DR. Moe Peck, PH.D,ATR,LPC is a professional counselor in Austin, TX. DR. Moe Peck, PH.D,ATR,LPC NPI is 1831308980. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5617 ADAMS AVE
AUSTIN, TX
ZIP 78756-102
Phone: (512) 517-5860

The enumeration date for this NPI number is 5/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	13022	TEXAS	Yes
2	221700000X	Art Therapist		1602	NEW MEXICO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	107-19287	OTHER	TEXAS	PHCS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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