Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 3071 | NC |
Y | 103T00000X | Psychologist | 3071 | NC |
N | 102L00000X | Psychologist | PSY002816 | GA |
N | 103T00000X | Psychologist | PSY002816 | GA |
NPI | 1013000140 |
---|---|
Provider Name | Sara L Schara Mcanulty |
First Address | Charlotte, NC 28204 |
Second Address | Charlotte, NC 28204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 29/04/2013 |