Individual
MR. MATTHEW WILLIAM MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LPA, CHSP-PA
Contact information
Practice address
2320 AVINSHIRE PL, WAKE FOREST, NC 27587-5375
(919) 556-7219
Mailing address
2320 AVINSHIRE PL, WAKE FOREST, NC 27587-5375
(919) 880-4823
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2107
NC
Other
Enumeration date
06/19/2007
Last updated
03/02/2009
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