Tia Cornwall, ED.S., LPA
NPI 1710488408 · Clinical Child & Adolescent Psychologist · Shallotte, NC
Tia Cornwall, ED.S., LPA is a Clinical Child & Adolescent Psychologist provider in Shallotte, NC (NPI 1710488408).
Provider details
- NPI number
- 1710488408
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- ED.S., LPA
- Sex
- Female
- Sole proprietor
- No
- License
- 1244890 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-02-27
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Frequently asked questions
- What is Tia Cornwall's NPI number?
- Tia Cornwall's National Provider Identifier (NPI) is 1710488408, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tia Cornwall's specialty?
- Tia Cornwall is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist (Behavioral Health & Social Service Providers).
- Where is Tia Cornwall located?
- Tia Cornwall's practice location on file with NPPES is 4902 Main St Ste D, Shallotte, NC 28470-4749.
- What is Tia Cornwall's phone number?
- The practice phone number listed in the NPPES registry for Tia Cornwall is (910) 754-2289.
- Is Tia Cornwall's NPI active?
- Yes — Tia Cornwall's NPI (1710488408) is active in the NPPES registry as of the last update on 2026-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.