Female

Dr. Thea O. Silva De Souza PH.D.

Psychologist in Cornelius, NC(View on Map)

Full Name

Dr. Thea Oculato Silva De Souza PH.D.

NPI Number

1003324336

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/22/2018

Specialties

(Taxonomies)

Code

103T00000X
103TH0100X

Primary Taxonomy

Yes
No

Licenses

State

North Carolina

License Number

5306

Contact
Information

Purpose

Mailing
Location

Address

4614 BROWNES FERRY RD
18151 W CATAWBA AVE

City

Charlotte
Cornelius

State

NC
NC

Postal Code

28269-8923
28031-5641

Country

US
US

Telephone Number

(704) 655-2830
(704) 495-4435

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/10/2019

Provider Address

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