Provider Demographics
NPI:1962660498
Name:PECK, DENNY L (PHD)
Entity Type:Individual
Prefix:DR
First Name:DENNY
Middle Name:L
Last Name:PECK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:LYNN
Other - Last Name:PECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 65055
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85728-5055
Mailing Address - Country:US
Mailing Address - Phone:520-887-0985
Mailing Address - Fax:520-887-5338
Practice Address - Street 1:4732 N ORACLE RD
Practice Address - Street 2:SUITE 316
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-1674
Practice Address - Country:US
Practice Address - Phone:520-887-0985
Practice Address - Fax:520-887-5338
Is Sole Proprietor?:No
Enumeration Date:2008-05-31
Last Update Date:2008-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3966103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist