Individual
DR. MOE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D,ATR,LPC
Contact information
Practice address
5617 ADAMS AVE, AUSTIN, TX 78756-1102
(512) 517-5860
Mailing address
PO BOX 33006, AUSTIN, TX 78764-0006
(512) 517-5860
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
13022
TX
221700000X
Art Therapist
Primary
1602
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107-19287
PHCS
TX
Enumeration date
05/22/2007
Last updated
09/11/2025
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