Most Relevant Information
Provider Data
| NPI Number: | 1003324336 |
| Provider Name: | THEA OCULATO SILVA DE SOUZA PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TH0100X |
| Specialty: | Psychologist |
| License Number: | 5306 |
Most Important Dates
| Enumeration Date: | 01/22/2018 |
| Last Updated: | 01/10/2019 |
Provider Practice Location
18151 W CATAWBA AVE
CORNELIUS
NC
280315641
Practice Location Phone/Fax
| Phone: | 7044954435 |
| Fax: |
Provider Mailing Location
4614 BROWNES FERRY RD
CHARLOTTE
NC
282698923
Provider Mailing Phone/Fax
| Phone: | 7046552830 |
| Fax: |