Individual
GEORGE MATTHEW SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
575 BOUNDARY BLVD, ROTONDA WEST, FL 33947-2033
(941) 697-6907
(941) 697-6907
Mailing address
575 BOUNDARY BLVD, ROTONDA WEST, FL 33947-2033
(941) 697-6907
(941) 697-6907
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2150
MA
Other
Enumeration date
07/05/2018
Last updated
05/17/2026
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