Provider Demographics
NPI:1710963897
Name:NAYLOR, CECILE EDITH (PHD)
Entity Type:Individual
Prefix:
First Name:CECILE
Middle Name:EDITH
Last Name:NAYLOR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5032 MEADOW HILL CT
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-4279
Mailing Address - Country:US
Mailing Address - Phone:336-464-7032
Mailing Address - Fax:336-464-7034
Practice Address - Street 1:514 S STRATFORD RD
Practice Address - Street 2:SUITE 335
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1823
Practice Address - Country:US
Practice Address - Phone:336-464-7032
Practice Address - Fax:336-464-7034
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1450103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist