| Peace Psychology Center Pllc | |
|
1723 E Southlake Blvd Ste 200 Southlake TX 76092-6445 | |
| (817) 917-7348 | |
| Not Available |
| Full Name | Peace Psychology Center Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1723 E Southlake Blvd Ste 200, Southlake, Texas |
| Authorized Official Name and Position | Kate Stark (MANAGER AND LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8179177348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Psychology Center Pllc 1723 E Southlake Blvd Ste 200 Southlake TX 76092-6445 Ph: (682) 292-7012 | Peace Psychology Center Pllc 1723 E Southlake Blvd Ste 200 Southlake TX 76092-6445 Ph: (817) 917-7348 |
| NPI Number | 1295310001 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 09/03/2022 |
| Certification Date | 09/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295310001 | NPI | - | NPPES |
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