Organization
GROTTO PSYCHOLOGICAL SOLUTIONS, PC
Active
Organization
GROTTO PSYCHOLOGICAL SOLUTIONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA M SISCO PHD (OWNER/PSYCHOLOGIST)
(704) 292-6020
Entity
Organization
Contact information
Practice address
3612 CREEKSIDE DR, GASTONIA, NC 28056-7118
(704) 292-6020
Mailing address
3612 CREEKSIDE DR, GASTONIA, NC 28056-7118
(704) 292-6020
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5744
NC BOARD OF PSYCHOLOGY CERTIFICATION
NC
Enumeration date
07/15/2022
Last updated
07/15/2022
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