Provider Demographics
NPI:1821710443
Name:DANLEY, RENATA ZULATO
Entity Type:Individual
Prefix:
First Name:RENATA
Middle Name:ZULATO
Last Name:DANLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5945 CLIFFDALE RD STE 1111
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-0034
Mailing Address - Country:US
Mailing Address - Phone:910-229-3951
Mailing Address - Fax:
Practice Address - Street 1:5945 CLIFFDALE RD STE 1111
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-0034
Practice Address - Country:US
Practice Address - Phone:910-229-3951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty