Peck, Kelly

Peck, Kelly is an individual health care provider with primary practice located at 27780 Novi Rd Ste 107 , Novi MI 48377-3401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peck, Kelly can be contacted via phone (248) 662-5202.

Contact Information

Primary practice address
27780 Novi Rd Ste 107 Novi MI 48377-3401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301018375 Michigan

Profile Details

NPI number 1578932570
LBN Legal business name Peck, Kelly
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2015
Last updated Dec 31st, 2020 - about 6 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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