Sousa, Jaclyn

Sousa, Jaclyn is an sole proprietor health care provider with primary practice located at 308 Bermuda Towne Row , Mt Pleasant SC 29464-8230. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sousa, Jaclyn can be contacted via phone (203) 518-1667.

Contact Information

Primary practice address
308 Bermuda Towne Row Mt Pleasant SC 29464-8230
Phone: (203) 518-1667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 021648-1 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 10929 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1657 South Carolina

Profile Details

NPI number 1396197356
LBN Legal business name Sousa, Jaclyn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2016
Last updated Oct 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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