| NPI | 1669694154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYLL ANNE DANIEL President 919-783-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 1507) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 1453) |
| 103TC0700X Psychologist, Clinical (Licence: NC 1453) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 1507) | |
| 103TE1100X Psychologist, Exercise & Sports (Licence: NC 1453) | |
| 103TF0000X Psychologist, Family (Licence: NC 1453) | |
| 103TF0000X Psychologist, Family (Licence: NC 1507) | |
| 103TH0100X Psychologist, Health Service (Licence: NC 1453) | |
| 103TS0200X Psychologist, School (Licence: NC 1507) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |