Search › North Carolina › 103T00000X
Tia Cornwall, ED.S., LPA
NPI 1710488408 · on the registry since 2018
Practice
- Address
- 4902 Main St Ste D
Shallotte, NC 28470 - Phone
- (910) 754-2289
- Organisation at this address
- Southeastern United Care Llc
Seaside Psychological Assessments And Resources For Kids PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TS0200X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-10
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 North Carolina