Individual
DR. KELLY PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
27780 NOVI RD STE 107, NOVI, MI 48377-3401
(248) 662-5202
Mailing address
27780 NOVI RD STE 107, NOVI, MI 48377-3401
(248) 662-5202
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018375
MI
Other
Enumeration date
09/20/2015
Last updated
12/31/2020
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