Provider Demographics
NPI:1932183670
Name:MEGINNIS, SHARON KAY (PH D)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:MEGINNIS
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:MEGINNIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PH D
Mailing Address - Street 1:137 E FRANKLIN ST
Mailing Address - Street 2:STE 30
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514
Mailing Address - Country:US
Mailing Address - Phone:919-967-6170
Mailing Address - Fax:919-967-6170
Practice Address - Street 1:137 E FRANKLIN ST
Practice Address - Street 2:STE 30
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-967-6170
Practice Address - Fax:919-967-6170
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC824103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical