Provider Demographics
NPI:1972633246
Name:LYERLY, HUBERT SPENCER II (PHD)
Entity type:Individual
Prefix:DR
First Name:HUBERT
Middle Name:SPENCER
Last Name:LYERLY
Suffix:II
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 EASTOWNE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2299
Mailing Address - Country:US
Mailing Address - Phone:919-490-5503
Mailing Address - Fax:
Practice Address - Street 1:800 EASTOWNE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2299
Practice Address - Country:US
Practice Address - Phone:919-490-5503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1754103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000502Medicaid