Organization
DR. SILVA DE SOUZA, PLLC
Active
Organization
DR. SILVA DE SOUZA, PLLC
Active
Other names
Higher Ground Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEA OCULATO SILVA DE SOUZA PH.D. (OWNER)
(917) 589-5372
Entity
Organization
Contact information
Practice address
18151 W CATAWBA AVE, CORNELIUS, NC 28031
(704) 495-4435
Mailing address
18151 W CATAWBA AVE, CORNELIUS, NC 28031-5641
(704) 495-4435
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
5306
NC
Other
Enumeration date
08/27/2018
Last updated
01/11/2019
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