Doctor Name: | DR. TANYA ROSE CHEEVERS |
NPI Number: | 1760690705 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 9900455 |
Business Practice Address: | 820 S Boylan Ave Mcbryde Bldg. Raleigh, NC - 276032246 |
Business Phone Number: | 9197159848 |
Business Fax Number: | |
Mailing Address: | 116 E Park Dr, RALEIGH |
State: | NC |
Postal Code: | 276051712 |
Phone Number: | 9198322234 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 9900455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |