Dr. Emma Lee Peden, Psy.D.
Clinical Neuropsychologist in Headland, AL. Individual provider (NPI-1).
NPI number1669896809
StatusActive
Last updated in NPPESFeb 7, 2014
Details
- NPI
- 1669896809
- Entity type
- Individual (NPI-1)
- Name
- Dr. Emma Lee Peden
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2014
- Last updated
- Feb 7, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1856 | AL | Yes |
| 103T00000X | Psychologist | 1856 | AL | |
| 103TC0700X | Psychologist, Clinical | 1856 | AL |
Practice location
702 Carr CirHeadland, AL 36345-1916
Phone 334-718-7332
Mailing address
Po Box 524Headland, AL 36345-0524
Phone 334-718-7332
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