Provider Demographics
NPI:1508260951
Name:BESUDEN, DANIELLE
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:BESUDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1015 9TH ST
Mailing Address - Street 2:#1
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4106
Mailing Address - Country:US
Mailing Address - Phone:713-906-4551
Mailing Address - Fax:
Practice Address - Street 1:1015 9TH ST
Practice Address - Street 2:#1
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4106
Practice Address - Country:US
Practice Address - Phone:713-906-4551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-14
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500800621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical