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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALYSSA REVUELTA, PH.D.

Active Sole Proprietor

ALYSSA REVUELTA, PH.D. is a Child, Clinical Psychologist healthcare provider located in MT PLEASANT, South Carolina. NPI 1871780213 is currently active in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · MT PLEASANT, SC

Registration Details

NPI Number
1871780213
Provider Type
Individual
Gender
Female
NPI Issued
Oct 1, 2007 (18.85433300216 yrs)
Last Updated
Nov 13, 2012
License
1184 (SC)
Sole Proprietor
Yes

Practice Information

Address
10 RESOLUTE LN
SUITE 207
MT PLEASANT, SC, 294646608
Browse SC providers · Browse ZIP 29464
Phone
8438109682
Fax
8434084478
Primary Specialty
Child, Clinical Psychologist
103TC2200X

Other Child, Clinical Psychologist Providers in MT PLEASANT, SC

Name Credential NPI
DR. CHELSEA GRIMSLEY OSWALD PSYD 1285013904
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.