MEDICARE: DR. PETER WILLIAM HENSCHEL PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	25204	TX
2	103TF0200X	Forensic Psychologist	25204	TX
3	103TP2701X	Group Psychotherapy Psychologist	25204	TX

General Provider Information

NPI Number	:	1942427737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER WILLIAM HENSCHEL PH.D.

Provider Business Mailing Address
First Line	:	6116 N CENTRAL EXPY
Second Line	:	SUITE 120
City	:	DALLAS
State	:	TX
Zip	:	75206-5162
Country	:	US
Telephone Number	:	214-361-9797
Fax Number	:	214-361-9294

Provider Business Practice Location Address
First Line	:	6116 N CENTRAL EXPY
Second Line	:	SUITE 120
City	:	DALLAS
State	:	TX
Zip	:	75206-5162
Country	:	US
Telephone Number	:	214-361-9797
Fax Number	:	214-361-9294

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	09/11/2025

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