Individual
DR. RITA MADRAZO-PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1502 W NC HIGHWAY 54, SUITE 505, DURHAM, NC 27707-5571
(919) 932-1680
(919) 960-5126
Mailing address
908 BAYBERRY DR, CHAPEL HILL, NC 27517-8394
(919) 932-1680
(919) 960-5126
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2953
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0451U
BLUECROSS BLUE SHIELD
NC
01
—
133885
GHI, BMP
—
01
—
14214800
MAGELLAN
—
01
—
230304
COMPSYCH
—
01
—
331072
MHN/HMC
—
01
—
4619612
AETNA
—
05
—
6000411
—
NC
01
—
74982851
UNITEDHEALTHCARE
—
Enumeration date
07/15/2006
Last updated
07/08/2007
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