Individual provider · Type 1 NPI

Nishthaya Soukhanouvong, PSY.D

Clinical Psychologist · Charlotte, NC

NPI number 1699250969 Active

Practice location

3743 Latrobe Dr
Charlotte, NC 28211-1164

Fax (571) 257-0906

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X5747 (NC)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1699250969

Nishthaya Soukhanouvong, PSY.D's National Provider Identifier is 1699250969, issued on Oct 2, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Charlotte, NC. The record was last updated on Dec 4, 2023.