Search › South Carolina › 103TC0700X
Jaclyn Sousa, PH.D
NPI 1396197356 · on the registry since 2016 · sole proprietor
Practice
- Address
- 308 Bermuda Towne Row
Mt Pleasant, SC 29464 - Phone
- (203) 518-1667
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103T00000X
103TC0700X - Licence states on file
- NY, MA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina