NISHTHAYA SOUKHANOUVONG, PSY.D

NPI: 1699250969 · Individual · Active

Primary Specialty

Clinical Psychologist
Psychologist — Clinical

Practice Location

3743 LATROBE DR
CHARLOTTE, NC 28211-1164 Map ↗
Phone: 704-826-2709
Fax: 571-257-0906

All Specialties & Licenses

  • Clinical Psychologist Primary — Clinical (license: 5747, NC)

NPI Registration

Enumerated: 2018-10-02

Last CMS Update: 2023-12-04