Doctor Name: | MR. RICHARD SAMUEL DAUM |
NPI Number: | 1285783258 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 810 |
Business Practice Address: | 2905 Breezewood Ave Suite 104 Fayetteville, NC - 28303 |
Business Phone Number: | 9104339007 |
Business Fax Number: | 9108291207 |
Mailing Address: | 400 Whisperwood Dr, CARY |
State: | NC |
Postal Code: | 27518 |
Phone Number: | 9198592131 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 810 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |