Michael L Peck is a Clinical in Los Angeles, California. Michael L Peck practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael L Peck is 1740328491. The last update date is 2007-07-08.
Michael L Peck's current location address is 10642 Santa Monica Blvd, Los Angeles, California. You can contact this provider via phone number 3104753018 and fax number 3104753018. The mailing address for Michael L Peck is 10642 Santa Monica Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael L Peck |
|---|---|
| Address | 10642 Santa Monica Blvd, Los Angeles, California |
| Phone Number | 3104753018 |
| Fax Number | 3104753018 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1740328491 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10642 Santa Monica Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900254525 |
| Phone Number | 3104753018 |
| Fax Number | 3104753018 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY2942 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY2942 | CA | PSYCHOLOGY LICENSE |
Post Comment/ Review Below
What is the Michael L Peck's 1740328491?
The Michael L Peck's NPI (National Provider Identifier) Number is 1740328491. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michael L Peck is physically located?
The Michael L Peck is situated at the following address: 10642 Santa Monica Blvd, Los Angeles, CA 900254525.
What is Michael L Peck's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael L Peck's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date was the 1740328491 assigned to Michael L Peck?
The Michael L Peck was issued its 1740328491 on 2007-02-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Michael L Peck most recently updated?
The details pertaining to the Michael L Peck, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.