Individual
DR. CALEB PAUL PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
150 OTROBANDO AVE, NORWICH, CT 06360-2116
(860) 889-7274
(860) 889-2131
Mailing address
150 OTROBANDO AVE, NORWICH, CT 06360-2116
(860) 889-7274
(860) 889-2131
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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