NPI 1629756622

Deondrae Tyshawn Cisse

Practitioner Adult Development & Aging Psychologist Sumter, SC

Practice location

Address: 1175 N Guignard Dr, Sumter, SC 29150-1519
Phone: (803) 580-6511

Registered specialties

Adult Development & Aging Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TA0700X

Other Psychologist providers in South Carolina →

Registry record

NPI: 1629756622
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2023
Record last updated: 10 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.