Provider Demographics
NPI:1386857555
Name:DANIELS, SHENEEN GARLAND (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHENEEN
Middle Name:GARLAND
Last Name:DANIELS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SHENEEN
Other - Middle Name:
Other - Last Name:DANIELS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:14 S PACK SQ STE 505
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3511
Mailing Address - Country:US
Mailing Address - Phone:828-231-3297
Mailing Address - Fax:888-224-5899
Practice Address - Street 1:100 TECHNOLOGY DR STE A
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-5009
Practice Address - Country:US
Practice Address - Phone:828-251-6319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2933103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist