Individual
REBECCA MARIE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-6717
(336) 716-2700
(336) 716-0382
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6678
NC
103TC0700X
Clinical Psychologist
4637
NC
103TC1900X
Counseling Psychologist
4637
NC
Other
Enumeration date
07/28/2014
Last updated
11/20/2024
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