Healthcare Provider Details

I. General information

NPI: 1447890959
Provider Name (Legal Business Name): CHRISTINA T. SOUZA MA.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2020
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1565 N MAIN ST
FALL RIVER MA
02720-2972
US

IV. Provider business mailing address

1565 N MAIN ST
FALL RIVER MA
02720-2972
US

V. Phone/Fax

Practice location:
  • Phone: 508-302-7257
  • Fax: 508-672-3619
Mailing address:
  • Phone: 508-302-7257
  • Fax: 508-672-3619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: