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Contact Information

WHITESIDE AND DANIEL, P.A.
4301 LAKE BOONE TRL
SUITE 208
RALEIGH, NC27607-7507
 Phone: 919-783-8847
 Fax: 919-783-0790
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

103TF0000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WHITESIDE AND DANIEL, P.A.

NPI # 1669694154
LBN Legal business name WHITESIDE AND DANIEL, P.A.
Authorized official SHERYLL DANIEL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
NC License # 1453
NC License # 1507
NC Other 0315K BLUE CROSS BLUE SHIELD NC
NC Other 0489C BLUE CROSS BLUE SHIELD NC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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