Mcnulty, Amy Smith
Mcnulty, Amy Smith is an sole proprietor health care provider with primary practice located at 3541 Randolph Road Suite 102, Charlotte NC 28211. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mcnulty, Amy Smith can be contacted via phone (704) 366-6969.Contact Information
Primary practice address
3541 Randolph Road Suite 102
Charlotte NC 28211
Phone: (704) 366-6969
Fax: (704) 366-6464
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1972 | North Carolina |
Profile Details
NPI number | 1306804828 |
---|---|
LBN Legal business name | Mcnulty, Amy Smith |
Credentials | PHD, LCSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 3rd, 2006 |
Last updated | Apr 8th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306804828 | NPPES |
North Carolina | Other | 03128 | BCBS |
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