Provider Demographics
NPI:1780718692
Name:PETER BRECHER,PH.D. P.C.
Entity type:Organization
Organization Name:PETER BRECHER,PH.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:BRECHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:508-473-5888
Mailing Address - Street 1:258 MAIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2525
Mailing Address - Country:US
Mailing Address - Phone:508-473-5888
Mailing Address - Fax:
Practice Address - Street 1:258 MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2525
Practice Address - Country:US
Practice Address - Phone:508-473-5888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1840103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty