NPI 1003324336

Thea Oculato Silva de Souza, PHD

Practitioner Psychologist Cornelius, NC

Practice location

Address: 18151 W Catawba Ave, Cornelius, NC 28031-5641
Phone: (704) 495-4435
Mailing address: 4614 Brownes Ferry Rd, Charlotte, NC 28269-8923

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 5306 (NC)

Other Psychologist providers in North Carolina →

Health Service Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TH0100X Licence 5306 (NC)

Registry record

NPI: 1003324336
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2018
Record last updated: 10 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.