Provider Demographics
NPI:1528091147
Name:PAPERT, PEGGY A (LCSW-AP)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:A
Last Name:PAPERT
Suffix:
Gender:F
Credentials:LCSW-AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10514 BARRYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-4243
Mailing Address - Country:US
Mailing Address - Phone:214-460-2540
Mailing Address - Fax:
Practice Address - Street 1:10514 BARRYWOOD DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-4243
Practice Address - Country:US
Practice Address - Phone:214-460-2540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10264104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker