Individual
DR. MELISSA MARIE SISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8303 SIX FORKS RD STE 207, RALEIGH, NC 27615-3094
(919) 245-7791
Mailing address
3612 CREEKSIDE DR, GASTONIA, NC 28056-7118
(704) 915-8770
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
103360
NC
Other
Enumeration date
01/09/2020
Last updated
09/28/2021
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