| Peter T Oas Phd Pa | |
|
707 Bayshore Dr Niceville FL 32578-2589 | |
| (850) 729-3117 | |
| (850) 729-3142 |
| Full Name | Peter T Oas Phd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 707 Bayshore Dr, Niceville, Florida |
| Authorized Official Name and Position | Peter Timothy Oas (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8507293117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter T Oas Phd Pa Po Box 1002 Niceville FL 32588-1002 Ph: (850) 729-3117 | Peter T Oas Phd Pa 707 Bayshore Dr Niceville FL 32578-2589 Ph: (850) 729-3117 |
| NPI Number | 1588965636 |
|---|---|
| Provider Enumeration Date | 11/05/2010 |
| Last Update Date | 11/16/2010 |
| Medicare PECOS PAC ID | 3072708023 |
|---|---|
| Medicare Enrollment ID | O20101116000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588965636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY3598 (Florida) | Primary |
| Provider Name | Peter Timothy Oas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144238270 PECOS PAC ID: 7214122274 Enrollment ID: I20101116000720 |
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