NPI 1396197356

Jaclyn Sousa, PHD

Practitioner Clinical Psychologist Mt Pleasant, SC

Practice location

Address: 308 Bermuda Towne Row, Mt Pleasant, SC 29464-8230
Phone: (203) 518-1667

Registered specialties (3)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1657 (SC)

Other Psychologist providers in South Carolina →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 021648-1 (NY)

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 10929 (MA)

Registry record

NPI: 1396197356
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jul 2016
Record last updated: 22 Oct 2021

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.