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
Fax: (704) 366-6464
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306804828 NPPES
North Carolina Other 03128 BCBS

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