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Individual

DR. MICHELLE A PEACOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2001 TIMBERLOCH PL STE 500, THE WOODLANDS, TX 77380-1375
(203) 742-0500
Mailing address
2001 TIMBERLOCH PL STE 500, THE WOODLANDS, TX 77380-1375
(203) 742-0500

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
38800
TX
103TC0700X
Clinical Psychologist
Primary
003726
CT
103TF0200X
Forensic Psychologist
003726
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003726
LICENSE
CT
01
38800
LICENSE
TX
Enumeration date
10/31/2018
Last updated
09/17/2025
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