| Doctor Name: | MR. E DEVAULT CLEVENGER |
| NPI Number: | 1760518856 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 241 Grant St West End, NC - 27376 |
| Business Phone Number: | 9106733535 |
| Business Fax Number: | |
| Mailing Address: | 3125 Poplarwood Ct, Suite 300 RALEIGH |
| State: | NC |
| Postal Code: | 276041084 |
| Phone Number: | 9197908580 |
| Fax Number: | 9193410231 |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 02/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |