NISHTHAYA SOUKHANOUVONG

CHARLOTTE, NC
NPI1699250969
Professional NameEMILY SOUKHANOUVONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NC  5747)
Enumeration Date2018-10-02
Last Update Date2023-12-04
Business Address
Dr. NISHTHAYA SOUKHANOUVONG Psy.D
3743 LATROBE DR
CHARLOTTE, NC 28211-1164
Phone number: 704-826-2709
Mailing Address
Dr. NISHTHAYA SOUKHANOUVONG Psy.D
3743 LATROBE DR
CHARLOTTE, NC 28211-1164
Phone number: 704-826-2709