# WHITESIDE AND DANIEL, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669694154
- **Authorized official:** DR. SHERYLL ANNE DANIEL PH.D. (PRESIDENT)
- **Authorized official phone:** (919) 783-8847

## Contact information

- **Practice address:** 4301 LAKE BOONE TRL, SUITE 208, RALEIGH, NC 27607-7507
- **Practice address phone:** (919) 783-8847
- **Practice address fax:** (919) 783-0790
- **Mailing address:** 4301 LAKE BOONE TRL, SUITE 208, RALEIGH, NC 27607-7507
- **Mailing address phone:** (919) 783-8847
- **Mailing address fax:** (919) 783-0790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 1507 | NC | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | 1453 | NC | — |
| 103TC0700X | Clinical Psychologist | 1453 | NC | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 1507 | NC | — |
| 103TE1100X | Exercise & Sports Psychologist | 1453 | NC | — |
| 103TF0000X | Family Psychologist | 1453 | NC | — |
| 103TF0000X | Family Psychologist | 1507 | NC | Yes |
| 103TH0100X | Health Service Psychologist | 1453 | NC | — |
| 103TS0200X | School Psychologist | 1507 | NC | — |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 09/11/2025