Healthcare Provider Details

I. General information

NPI: 1942427737
Provider Name (Legal Business Name): PETER WILLIAM HENSCHEL PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6116 N CENTRAL EXPY SUITE 120
DALLAS TX
75206-5162
US

IV. Provider business mailing address

6116 N CENTRAL EXPY SUITE 120
DALLAS TX
75206-5162
US

V. Phone/Fax

Practice location:
  • Phone: 214-361-9797
  • Fax: 214-361-9294
Mailing address:
  • Phone: 214-361-9797
  • Fax: 214-361-9294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number25204
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number25204
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number25204
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: