Individual
MICHAELA DIANE SISITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 217-9368
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(603) 714-1285
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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