Organization
NANCY C. PETERS, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY C. PETERS PH.D. (OWNER)
(910) 762-9083
Entity
Organization
Contact information
Practice address
2450 DELANEY RD, WILMINGTON, NC 28403-6062
(910) 762-9083
Mailing address
2450 DELANEY RD, WILMINGTON, NC 28403-6062
(910) 762-9083
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0438
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04360
BLUE CROSS/BLUE SHIELD
—
01
—
071991
VALUE OPTIONS
—
05
—
6000101
—
NC
01
—
61-07217
UBH
—
01
—
70180
MEDCOST
—
01
—
7266127
AETNA
—
01
—
900012686
PRIORITY HEALTH
—
01
—
IPO39303
MAGELLAN
—
Enumeration date
03/03/2006
Last updated
10/19/2011
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