Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIA CORNWALL, ED.S., LPA
ActiveTIA CORNWALL, ED.S., LPA is a Child, Clinical Psychologist healthcare provider located in SHALLOTTE, North Carolina. NPI 1710488408 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · SHALLOTTE, NC
Registration Details
- NPI Number
- 1710488408
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 27, 2018 (8.492302650234 yrs)
- Last Updated
- Mar 6, 2026
- Licenses
-
1244890 (NC)6811 (NC)
Practice Information
- Address
-
4902 MAIN ST STE DSHALLOTTE, NC, 284704749Browse NC providers · Browse ZIP 28470
- Phone
- 9107542289
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Child, Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.