Individual provider · Type 1 NPI
Tia Cornwall, ED.S., LPA
Psychologist · Shallotte, NC
Practice location
4902 Main St Ste D
Shallotte, NC 28470-4749
Mailing address
PO Box 1023
Shallotte, NC 28459-1023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 6811 (NC) |
| School Psychologist | 103TS0200X | 1244890 (NC) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
2 other providers at this address
Other psychologist providers in Shallotte
About NPI 1710488408
Tia Cornwall, ED.S., LPA's National Provider Identifier is 1710488408, issued on Feb 27, 2018. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Shallotte, NC. The record was last updated on Aug 10, 2026.