Theresa M Souza, PHD, M.S,, T.L.L.P.

NPI #1063781615 in Glen Mills, Pennsylvania

Provider Information

NPI Number: 1063781615
Entity Type: Individual
Name: Theresa M Souza, PHD, M.S,, T.L.L.P.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: PHD, M.S,, T.L.L.P.
Enumeration Date: Dec 27, 2011
Last Updated: Dec 27, 2011

Practice Location

Address: 871 BALTIMORE PIKE
Address 2: UNIT 31
City: Glen Mills
State: Pennsylvania
ZIP Code: 19342
Phone: (610) 644-6464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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