Organization
DAVID E PEACO,PHD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E PEACO PHD (SOLE MEMBER)
(636) 332-5050
Entity
Organization
Contact information
Practice address
600 MEDICAL DR STE 205, WENTZVILLE, MO 63385-3426
(636) 332-5050
(636) 327-4723
Mailing address
600 MEDICAL DR, WENTZVILLE, MO 63385-3426
(636) 332-5050
(636) 327-4723
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01175
MO
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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