Healthcare Provider Details

I. General information

NPI: 1780593897
Provider Name (Legal Business Name): EMILY CATHERINE SOUSA PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2761 PAWTUCKET AVE
EAST PROVIDENCE RI
02914-3389
US

IV. Provider business mailing address

14 FOXHILL AVE
BRISTOL RI
02809-3514
US

V. Phone/Fax

Practice location:
  • Phone: 401-400-5861
  • Fax:
Mailing address:
  • Phone: 401-741-3721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: