# CHAPEL HILL PEDIATRIC PSYCHOLOGY, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447337290
- **Authorized official:** DR. DAVID B. RIDDLE JR. PH.D. (PRESIDENT)
- **Authorized official phone:** (919) 942-4166

## Contact information

- **Practice address:** 205 SAGE RD, SUITE 201, CHAPEL HILL, NC 27514-6995
- **Practice address phone:** (919) 942-4166
- **Practice address fax:** (919) 942-8693
- **Mailing address:** 205 SAGE RD, SUITE 201, CHAPEL HILL, NC 27514-6995
- **Mailing address phone:** (919) 942-4166
- **Mailing address fax:** (919) 942-8693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020