Doctor Name: | DR. PETER T OAS |
NPI Number: | 1144238270 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PY0003598 |
Business Practice Address: | 707 Bayshore Dr Niceville, FL - 325782546 |
Business Phone Number: | 8507293117 |
Business Fax Number: | |
Mailing Address: | Po Box 1002, NICEVILLE |
State: | FL |
Postal Code: | 325881002 |
Phone Number: | 8507293117 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY0003598 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |