Organization
MCNALLY PSYCHOLOGICAL CONSULTANTS, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW WILLIAM MCNALLY LPA (PRESIDENT/PSYCHOLOGIST)
(919) 880-6575
Entity
Organization
Contact information
Practice address
2320 AVINSHIRE PL, WAKE FOREST, NC 27587-5375
(919) 880-6575
(919) 556-7219
Mailing address
2320 AVINSHIRE PL, WAKE FOREST, NC 27587-5375
(919) 880-6575
(919) 556-7219
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2107
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107057
—
NC
Enumeration date
04/19/2010
Last updated
04/19/2010
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