Individual
DR. CALEB PAUL PECK
Active
Individual
DR. CALEB PAUL PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
003313
CT
103T00000X
Psychologist
003313
CT
103TB0200X
Cognitive & Behavioral Psychologist
1364
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008033136
—
CT
Enumeration date
09/21/2010
Last updated
06/07/2024
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