Healthcare Provider Details

I. General information

NPI: 1932183670
Provider Name (Legal Business Name): SHARON KAY MEGINNIS PH. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHARON MEGINNIS PH. D.

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 04/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 E FRANKLIN ST STE 30
CHAPEL HILL NC
27514
US

IV. Provider business mailing address

137 E FRANKLIN ST STE 30
CHAPEL HILL NC
27514
US

V. Phone/Fax

Practice location:
  • Phone: 919-967-6170
  • Fax: 919-967-6170
Mailing address:
  • Phone: 919-967-6170
  • Fax: 919-967-6170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number824
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: