Individual
FLAVIA DESOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 GEORGIA AVE NW STE 6101, WASHINGTON, DC 20060-6624
(202) 865-6679
Mailing address
15146 HASTINGS DR, DOLTON, IL 60419-2904
(860) 301-3140
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036153156
IL
2084P0800X
Psychiatry Physician
61581
CT
2084P0800X
Psychiatry Physician
A169589
CA
2084P0800X
Psychiatry Physician
MD048611
DC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301512824
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2016
Last updated
08/19/2024
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