Pbsi | |
4732 N Oracle Rd Suite 316 Tucson AZ 85705-1674 | |
(520) 887-0985 | |
(520) 887-5338 |
Full Name | Pbsi |
---|---|
Speciality | Psychologist |
Location | 4732 N Oracle Rd, Tucson, Arizona |
Authorized Official Name and Position | Denny L Peck (ADMINISTRATOR) |
Authorized Official Contact | 5208870985 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pbsi 4732 N Oracle Rd Suite 316 Tucson AZ 85705-1674 Ph: (520) 887-0985 | Pbsi 4732 N Oracle Rd Suite 316 Tucson AZ 85705-1674 Ph: (520) 887-0985 |
NPI Number | 1871694281 |
---|---|
Provider Enumeration Date | 09/26/2006 |
Last Update Date | 02/28/2008 |
Medicare PECOS PAC ID | 7517041676 |
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Medicare Enrollment ID | O20080227000714 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871694281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 274 (Arizona) | Primary |
Provider Name | Denny L Peck |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1962660498 PECOS PAC ID: 0547345266 Enrollment ID: I20080701000405 |
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