Revuelta, Alyssa
Revuelta, Alyssa is an sole proprietor health care provider with primary practice located at 10 Resolute Ln Suite 207, Mt Pleasant SC 29464-6608. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Revuelta, Alyssa can be contacted via phone (843) 810-9682.Contact Information
Primary practice address
10 Resolute Ln Suite 207
Mt Pleasant SC 29464-6608
Phone: (843) 810-9682
Fax: (843) 408-4478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 1184 | South Carolina |
Profile Details
| NPI number | 1871780213 |
|---|---|
| LBN Legal business name | Revuelta, Alyssa |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2007 |
| Last updated | Nov 13th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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