Individual
DR. WALTER H MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1008 UNION RD STE C, GASTONIA, NC 28054-5590
(704) 716-1006
Mailing address
309 S SHARON AMITY RD STE 304, CHARLOTTE, NC 28211-2886
(704) 716-1006
(704) 366-6464
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1923
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000538
—
NC
Enumeration date
06/03/2006
Last updated
09/23/2020
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