Individual
CHARLES M PECKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLLP
Contact information
Practice address
2702 FLUSHING RD, FLINT, MI 48504-4534
(810) 424-5998
(810) 424-6347
Mailing address
585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
(517) 676-5460
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014260
MI
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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