Shattuck, Daniel Watkins

Shattuck, Daniel Watkins is an sole proprietor health care provider with primary practice located at 2501 Atrium Dr Ste 100 , Raleigh NC 27607-6452. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Shattuck, Daniel Watkins can be contacted via phone (919) 763-2760.

Contact Information

Primary practice address
2501 Atrium Dr Ste 100 Raleigh NC 27607-6452
Phone: (919) 763-2760
Fax: (919) 359-9705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3398 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3398 North Carolina

Profile Details

NPI number 1558315820
LBN Legal business name Shattuck, Daniel Watkins
Credentials PH.D., LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Dec 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558315820 NPPES
North Carolina MEDICAID 6102454
North Carolina Other E0478
North Carolina Other 75888

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