Peck, Caleb Paul

Peck, Caleb Paul is an individual health care provider with primary practice located at 150 Otrobando Ave , Norwich CT 06360-2116. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Peck, Caleb Paul can be contacted via phone (860) 889-7274.

Contact Information

Primary practice address
150 Otrobando Ave Norwich CT 06360-2116
Phone: (860) 889-7274
Fax: (860) 889-2131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 003313 Connecticut
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1364 Kansas
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 003313 Connecticut

Profile Details

NPI number 1750699070
LBN Legal business name Peck, Caleb Paul
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2010
Last updated Jun 7th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750699070 NPPES
Connecticut MEDICAID 008033136

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