Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 1453 | NC |
Y | 103G00000X | Clinical Psychologist | 1453 | NC |
Y | 103TC0700X | Clinical Psychologist | 1453 | NC |
N | 103TE1100X | Exercise & Sports Psychologist | 1453 | NC |
N | 103TF0000X | Family Psychologist | 1453 | NC |
N | 103TH0100X | Health Service | 1453 | NC |
NPI | 1093936239 |
---|---|
Provider Name | Dr. Sheryll Anne Daniel |
First Address | Cary, NC 27518-8118 |
Second Address | Cary, NC 27518-8118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 17/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0315K | BLUE CROSS BLUE SHIELD NC (01) | NC |
EXEMPT | (02) | NC |