Tia Cornwall, EDS, LPA
Tia Cornwall, EDS, LPA is a School Psychologist in Shallotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.
- Licensed in
- NC
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
4902 Main St Ste DShallotte, NC 28470-4749
Phone: (910) 754-2289
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Child & Adolescent Psychologist (primary) | Taxonomy 103TC2200X · Licence 6811 (NC) |
|---|---|
| School Psychologist | Taxonomy 103TS0200X · Licence 1244890 (NC) |
Record details
| NPI number | 1710488408 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | EDS , LPA |
| Sole proprietor | No |
| NPI enumerated | February 27, 2018 |
| Last updated in NPPES | March 6, 2026 |
| Certification date | March 6, 2026 |