Provider Demographics
NPI:1861881476
Name:PEAK DEVELOPMENT ASSOCIATES
Entity type:Organization
Organization Name:PEAK DEVELOPMENT ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:DITTNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-303-0377
Mailing Address - Street 1:201 S SALEM ST
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-1824
Mailing Address - Country:US
Mailing Address - Phone:919-303-0377
Mailing Address - Fax:919-363-9927
Practice Address - Street 1:201 S SALEM ST
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-1824
Practice Address - Country:US
Practice Address - Phone:919-303-0377
Practice Address - Fax:919-363-9927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty