Provider Demographics
NPI:1013000140
Name:SCHARA MCANULTY, SARA L (PHD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:L
Last Name:SCHARA MCANULTY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:L
Other - Last Name:SCHARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:2610 E 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204
Mailing Address - Country:US
Mailing Address - Phone:704-375-8900
Mailing Address - Fax:704-335-7178
Practice Address - Street 1:2610 E 7TH ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204
Practice Address - Country:US
Practice Address - Phone:704-375-8900
Practice Address - Fax:704-335-7178
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3071103T00000X
GAPSY002816103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist