Peck, Edward Arnold

Peck, Edward Arnold is an individual health care provider with primary practice located at 2010 Bremo Rd Suite 127, Richmond VA 23226-2444. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Peck, Edward Arnold can be contacted via phone (804) 285-2555.

Contact Information

Primary practice address
2010 Bremo Rd Suite 127 Richmond VA 23226-2444
Phone: (804) 285-2555
Fax: (804) 282-0314
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0810000910 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810000910 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2228 Massachusetts

Profile Details

NPI number 1811943830
LBN Legal business name Peck, Edward Arnold
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Oct 16th, 2008 - about 18 years 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 1811943830 NPPES
Virginia MEDICAID 007705948
Virginia Other 018091
Virginia Other 087976

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