Provider Demographics
NPI:1851672901
Name:PECK, CHRISTOPHER ELSON (PHD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ELSON
Last Name:PECK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10275 N DOWNING DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILLS
Mailing Address - State:UT
Mailing Address - Zip Code:84062-8653
Mailing Address - Country:US
Mailing Address - Phone:801-404-4613
Mailing Address - Fax:
Practice Address - Street 1:1500 WSC
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84602-7924
Practice Address - Country:US
Practice Address - Phone:801-404-4613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7427659-2501103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling