Deondrae Tyshawn Cisse, - Psychologist in Sumter, SC

Deondrae Tyshawn Cisse, is a Psychologist - Adult Development & Aging based in Sumter, South Carolina. Deondrae Tyshawn Cisse is licensed to practice in * (Not Available) (license number ) and his current practice location is 1175 N Guignard Dr, Sumter, South Carolina. He can be reached at his office (for appointments etc.) via phone at (803) 580-6511.

NPI number for Deondrae Tyshawn Cisse is 1629756622 and his current mailing address is 1175 N Guignard Dr, Sumter, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629756622.

Contact Information

Deondrae Tyshawn Cisse,
1175 N Guignard Dr,
Sumter, SC 29150-1519
(803) 580-6511
Not Available



Healthcare Provider's Profile

Full NameDeondrae Tyshawn Cisse
GenderMale
SpecialityPsychologist - Adult Development & Aging
Location1175 N Guignard Dr, Sumter, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629756622
  • Provider Enumeration Date: 07/10/2023
  • Last Update Date: 07/10/2023

Medical Identifiers

Medical identifiers for Deondrae Tyshawn Cisse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629756622NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0700XPsychologist - Adult Development & Aging (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deondrae Tyshawn Cisse is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Deondrae Tyshawn Cisse,
1175 N Guignard Dr,
Sumter, SC 29150-1519

Ph: (803) 580-6511
Deondrae Tyshawn Cisse,
1175 N Guignard Dr,
Sumter, SC 29150-1519

Ph: (803) 580-6511

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› Verified 4 days ago


Psychologist in Sumter, SC

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