DR. Larry Brad Peck, PSYD

NPI #1366491334 in Slc, Utah

Provider Information

NPI Number: 1366491334
Entity Type: Individual
Name: DR. Larry Brad Peck, PSYD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: May 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 44 N MEDICAL DR
City: Slc
State: Utah
ZIP Code: 84113-1105
Phone: (801) 584-8533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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