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Dr. Nishthaya Soukhanouvong, PSYD
Clinical Psychologist in Charlotte, North Carolina
NPI 1699250969

Nishthaya Soukhanouvong is a Clinical Psychologist based in Charlotte, NC and is specialized in Clinical. Nishthaya Soukhanouvong practices in Charlotte, NC and has the professional credentials of PSYD. The NPI Number for Nishthaya Soukhanouvong is 1699250969 and holds a License No. 5747 (North Carolina).

The current practice location address for Nishthaya Soukhanouvong is 3743 Latrobe Dr, Charlotte, NC and can be reached out via phone at 704-826-2709 and via fax at 571-257-0906.

Location: 3743 Latrobe Dr, Charlotte, NC, 28211-1164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699250969
Provider Name
Nishthaya Soukhanouvong
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
3743 Latrobe Dr, Charlotte, NC, 28211-1164
Phone Number
704-826-2709
Fax Number
571-257-0906
Provider Enumeration Date
10/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3743 Latrobe Dr
City
Charlotte
State
North Carolina
Zip
28211-1164
Phone Number
704-826-2709
Fax Number
571-257-0906
person
Provider Business Mailing Address Details
Address
3743 Latrobe Dr
City
Charlotte
State
North Carolina
Zip
28211-1164
Phone Number
704-826-2709
Fax Number
571-257-0906
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
5747 (North Carolina)
Definition
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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