LEON ASHLEY PEEK PH.D.
Clinical Neuropsychologist
Denton, Texas
Provider NPI: 1255351177
Provider Information:LEON ASHLEY PEEK PH.D.
Gender: M
Sole Proprietor
Practice Location:
526 N LOCUST ST SUITE 5 DENTON, TX 76201 US
Tel: 940-382-1957 Fax: 817-769-2720
Business Mailing Address:
2271 SCRIPTURE ST DENTON, TX 76201 US
Tel: 940-382-1957 Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | TX | 2-1953 |
Y | 103T00000X | Behavioral Health & Social Service Providers Psychologist | TX | 2-1953 |
N | 103TA0700X | Behavioral Health & Social Service Providers Psychologist | TX | 21953 |
N | 103TB0200X | Behavioral Health & Social Service Providers Psychologist | TX | 21953 |
N | 103TF0000X | Behavioral Health & Social Service Providers Psychologist | TX | 21953 |
N | 103TF0200X | Behavioral Health & Social Service Providers Psychologist | TX | 21953 |
N | 103TM1800X | Behavioral Health & Social Service Providers Psychologist | TX | 21953 |
N | 103TR0400X | Behavioral Health & Social Service Providers Psychologist | TX | 21953 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
P000TN168 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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