Charles M Peckham, TLLP

NPI #1144510645 in Flint, Michigan

Provider Information

NPI Number: 1144510645
Entity Type: Individual
Name: Charles M Peckham, TLLP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: TLLP
Enumeration Date: Apr 18, 2011
Last Updated: Apr 18, 2011

Practice Location

Address: 2702 FLUSHING RD
City: Flint
State: Michigan
ZIP Code: 48504-4534
Phone: (810) 424-5998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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