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Contact Information

CHARLES JEFFERY PECK, DO, PC
4641 BRIDLE PASS DR
COLORADO SPRINGS, CO80923-9266
 Phone: 719-640-4007
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHARLES JEFFERY PECK DO PC · (Female)

NPI # 1427317783
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2012
Last updated 05/08/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 40851
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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