Individual
DR. BRIAN PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LP
Contact information
Practice address
18471 HAGGERTY RD, NORTHVILLE, MI 48168-8513
(248) 735-6724
Mailing address
18471 HAGGERTY RD, NORTHVILLE, MI 48168-8513
(248) 735-6724
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016005
MI
Other
Enumeration date
09/22/2014
Last updated
10/06/2020
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