SearchNorth Carolina101YM0800X

Daniel Shattuck, PH.D., LCMHC

NPI 1558315820 · on the registry since 2006 · sole proprietor

Practice

Address
2501 Atrium Dr Ste 100
Raleigh, NC 27607
Phone
(919) 763-2760
Fax
(919) 359-9705
Organisation at this address
Raleigh Optometry, Pllc
G. Patricia Herrera Md Pa
Larry J. Moray Dds, Ms, Pa
Carolina Colorectal Surgery, Pc
Triangle Psychiatric Services, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YP2500X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina