Organization
CHAPEL HILL PEDIATRIC PSYCHOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID B. RIDDLE JR. PH.D. (PRESIDENT)
(919) 942-4166
Entity
Organization
Contact information
Practice address
205 SAGE RD, SUITE 201, CHAPEL HILL, NC 27514-6995
(919) 942-4166
(919) 942-8693
Mailing address
205 SAGE RD, SUITE 201, CHAPEL HILL, NC 27514-6995
(919) 942-4166
(919) 942-8693
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256E
BCBS OF NC
NC
Enumeration date
11/01/2006
Last updated
08/22/2020
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