Individual
DR. PETER J. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
100 WESTGREEN DR, SUITE 201, CHAPEL HILL, NC 27516-4417
(919) 933-6500
(919) 933-0334
Mailing address
100 WESTGREEN DR, SUITE 201, CHAPEL HILL, NC 27516-4417
(919) 933-6500
(919) 933-0334
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
2105
NC
103TB0200X
Cognitive & Behavioral Psychologist
2105
NC
103TC0700X
Clinical Psychologist
Primary
2105
NC
103TC2200X
Clinical Child & Adolescent Psychologist
2105
NC
103TF0000X
Family Psychologist
2105
NC
103TH0100X
Health Service Psychologist
2105
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407P
BCBS OF NC
NC
Enumeration date
06/30/2006
Last updated
01/17/2021
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