MEDICARE: MR. DAVID E PEACO PHD

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	01175	MO
2	103TC0700X	Clinical Psychologist	071004359	IL

General Provider Information

NPI Number	:	1538177563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID E PEACO PHD

Provider Business Mailing Address
First Line	:	600 MEDICAL DR
Second Line	:	STE 205
City	:	WENTZVILLE
State	:	MO
Zip	:	63385
Country	:	US
Telephone Number	:	636-332-5050
Fax Number	:	636-327-4723

Provider Business Practice Location Address
First Line	:	600 MEDICAL DR
Second Line	:	STE 205
City	:	WENTZVILLE
State	:	MO
Zip	:	63385
Country	:	US
Telephone Number	:	636-332-5050
Fax Number	:	636-327-4723

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	05/13/2015

Similar Medicare Providers

1376474908 — JANAE NICOLE LAPORTE
Practice Location Address:

503 PLEASANT BREEZE DR
WENTZVILLE, MO
63385-8919

Practice Phone: 314-323-7145
Practice Fax:

1922939446 — OLIVIA EZINNE AGUOCHA APRN, CNM
Practice Location Address:

301 DROPSEED DR
WENTZVILLE, MO
63385-2770

Practice Phone: 603-443-7222
Practice Fax:

1760313274 — MALIA LIM PRITCHETT PT, DPT
Practice Location Address:

512 WHEATFIELD CIR
WENTZVILLE, MO
63385-6027

Practice Phone: 847-867-2237
Practice Fax:

1043140387 — ASHLEY TOEBBEN PT
Practice Location Address:

110 PERRY CATE BLVD
WENTZVILLE, MO
63385-4726

Practice Phone: 636-205-1202
Practice Fax:

1134772353 — THERESA JANE DEBORD PMHNP-BC
Practice Location Address:

129 BROOKSHIRE CREEK DR
WENTZVILLE, MO
63385-5593

Practice Phone: 636-200-7187
Practice Fax:

1336080183 — VANTAGE POINT PSYCHIATRY
Practice Location Address:

129 BROOKSHIRE CREEK DR
WENTZVILLE, MO
63385-5593

Practice Phone: 636-200-7187
Practice Fax:

1831172436 — MRS. SUSAN ELIZABETH STEVENSON MOORE MSW LCSW
Practice Location Address:

1032 CROSSWINDS CT
WENTZVILLE, MO
63385-4836

Practice Phone: 844-853-8937
Practice Fax: 660-885-3690

Directions to “ MR. DAVID E PEACO PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.