Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEONDRAE TYSHAWN CISSE
Active Sole ProprietorAdult Development & Aging Psychologist · SUMTER, SC
Registration Details
- NPI Number
- 1629756622
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2023 (2.7817739168339 yrs)
- Last Updated
- Jul 10, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
1175 N GUIGNARD DRSUMTER, SC, 291501519Browse SC providers · Browse ZIP 29150
- Phone
- 8035806511
- Primary Specialty
-
Adult Development & Aging Psychologist
103TA0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.