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ALYSSA REVUELTA PH.D. NPI 1871780213


NPI Information

NPI: 1871780213
Provider Name: ALYSSA REVUELTA, PH.D.
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

Address:
10 RESOLUTE LN
SUITE 207
MT PLEASANT, SC
ZIP 29464
Phone: (843) 810-9682
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Alyssa Revuelta, PH.D. is a clinical child and adolescent psychologist in Mt Pleasant, SC. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. Alyssa Revuelta, PH.D. NPI is 1871780213. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10 RESOLUTE LN
SUITE 207
MT PLEASANT, SC
ZIP 29464-608
Phone: (843) 810-9682
Fax: (843) 408-4478

The enumeration date for this NPI number is 10/1/2007 and was last updated on 11/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC2200XPsychologistClinical Child & Adolescent1184SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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