Individual
DR. DANIEL ERIK EVERHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
219 COMMERCE ST, SUITE B, GREENVILLE, NC 27858-5035
(252) 758-7830
(252) 756-7830
Mailing address
PO BOX 3301, GREENVILLE, NC 27836-1301
(252) 756-7839
(252) 756-7830
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
014309
NY
103G00000X
Clinical Neuropsychologist
Primary
2646
NC
103TC0700X
Clinical Psychologist
014309
NY
103TC0700X
Clinical Psychologist
2646
NC
103TH0100X
Health Service Psychologist
014309
NC
103TH0100X
Health Service Psychologist
2646
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045J9
BC/BS
NC
01
—
184870
MEDCOST
NC
05
—
6000200
—
NC
Enumeration date
05/18/2006
Last updated
08/31/2012
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