Provider Demographics
NPI:1992133094
Name:VERNIG, PETER M (PHD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:M
Last Name:VERNIG
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 RENAISSANCE BLVD FL 3
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-2709
Mailing Address - Country:US
Mailing Address - Phone:215-495-7855
Mailing Address - Fax:215-495-7855
Practice Address - Street 1:2201 RENAISSANCE BLVD FL 3
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2709
Practice Address - Country:US
Practice Address - Phone:215-495-7855
Practice Address - Fax:215-495-7855
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017475103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical