Individual
MR. JASON ROBERT PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., C.A.G.S.
Contact information
Practice address
8 BARR ST, WORCESTER, MA 01602-1804
(978) 257-5217
Mailing address
8 BARR ST, WORCESTER, MA 01602-1804
(978) 257-5217
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
378295
MA
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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