| Greenbelt Psychological Services, Pllc | |
|
9701 Brodie Ln Ste 205 Austin TX 78748-6284 | |
| (512) 960-4047 | |
| Not Available |
| Full Name | Greenbelt Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 9701 Brodie Ln Ste 205, Austin, Texas |
| Authorized Official Name and Position | Molly Peter (OWNER) |
| Authorized Official Contact | 5129604047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenbelt Psychological Services, Pllc 9701 Brodie Ln Ste 205 Austin TX 78748-6284 Ph: (512) 960-4047 | Greenbelt Psychological Services, Pllc 9701 Brodie Ln Ste 205 Austin TX 78748-6284 Ph: (512) 960-4047 |
| NPI Number | 1407503063 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Medicare PECOS PAC ID | 7315334570 |
|---|---|
| Medicare Enrollment ID | O20220419000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407503063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Molly Peter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235745183 PECOS PAC ID: 2769893098 Enrollment ID: I20201118000012 |
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