Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nishthaya Soukhanouvong, PSYD

Individual provider Clinical Psychologist · NPI 1699250969

Dr. Nishthaya Soukhanouvong, PSYD is a Clinical Psychologist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3743 Latrobe Dr
Charlotte, NC 28211-1164
Phone: (704) 826-2709
Fax: (571) 257-0906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 5747 (NC)

Record details

NPI number1699250969
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

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