Organization
BUCKEYE PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J ADAMS (PARTNERED PSYCHOLOGIST)
(614) 440-4700
Entity
Organization
Contact information
Practice address
1310 FENWICK PKWY, DURHAM, NC 27713-5829
(614) 440-4700
Mailing address
1310 FENWICK PKWY, DURHAM, NC 27713-5829
(614) 440-4700
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19M34
BCBS PPN
—
Enumeration date
10/26/2020
Last updated
03/23/2021
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