Whiteside And Daniel, P.A. in Raleigh - Health Service

Whiteside And Daniel, P.A. - NPI 1669694154

Whiteside And Daniel, P.A. is a Health Service in Raleigh, North Carolina. Whiteside And Daniel, P.A. practices all healthcare services and medical treatments related to Health Service. The NPI Number for Whiteside And Daniel, P.A. is 1669694154. The last update date is 2020-08-22.

Whiteside And Daniel, P.A.'s current location address is 4301 Lake Boone Trl, Raleigh, North Carolina. You can contact this provider via phone number 9197838847 and fax number 9197830790. The mailing address for Whiteside And Daniel, P.A. is 4301 Lake Boone Trl, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Whiteside And Daniel, P.A.
Address 4301 Lake Boone Trl, Raleigh, North Carolina
Phone Number 9197838847
Fax Number 9197830790
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Daniel Anne Sheryll
Credentials PH.D.
Telephone Number 9197838847

NPI Number Detail

NPI Number 1669694154
Provider Enumeration Date 2007-05-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4301 Lake Boone Trl
City Raleigh
State North Carolina (NC)
Post Code 276077507
Phone Number 9197838847
Fax Number 9197830790

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Licence No 1453
Definition:
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0315K NC BLUE CROSS BLUE SHIELD NC
0489C NC BLUE CROSS BLUE SHIELD NC

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FAQs about Whiteside And Daniel, P.A.

What is the unique provider identifier assigned to Whiteside And Daniel, P.A.?

The Whiteside And Daniel, P.A. has been issued the NPI (National Provider Identifier) 1669694154 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Whiteside And Daniel, P.A.?

The Whiteside And Daniel, P.A. is situated at 4301 Lake Boone Trl, in the city of Raleigh, state of NC, with the zip code 276077507.

What is Whiteside And Daniel, P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Whiteside And Daniel, P.A. is Health Service, and the taxonomy classification code that categorizes this area of expertise is 103Th0100X.

When did the Whiteside And Daniel, P.A. receive its 1669694154?

The Whiteside And Daniel, P.A. was issued its 1669694154 on 2007-05-03, which is the date when the organization was assigned this unique identifier.

When was the information related to Whiteside And Daniel, P.A. most recently updated or refreshed?

The details pertaining to the Whiteside And Daniel, P.A., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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