Individual
MS. ANITA CANNON MCGAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSP, LPA
Contact information
Practice address
596 EXECUTIVE PL STE 102, FAYETTEVILLE, NC 28305-5189
(910) 818-1028
Mailing address
5129 TULIP DR, FAYETTEVILLE, NC 28304-1920
(910) 818-1028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3577
NC
103TS0200X
School Psychologist
026
NC
Other
Enumeration date
04/27/2009
Last updated
11/23/2021
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