Provider Demographics
NPI:1427377415
Name:DANIELS, PETER FLOYD III (MSEE, LCSW, CSAT)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:FLOYD
Last Name:DANIELS
Suffix:III
Gender:M
Credentials:MSEE, LCSW, CSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 GREAT HILLS TRL
Mailing Address - Street 2:SUITE 150W
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-6387
Mailing Address - Country:US
Mailing Address - Phone:512-470-3243
Mailing Address - Fax:
Practice Address - Street 1:9600 GREAT HILLS TRL
Practice Address - Street 2:SUITE 150W
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-6387
Practice Address - Country:US
Practice Address - Phone:512-470-3243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-31
Last Update Date:2010-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX421371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical