| Dr. Alyce Cisine, Llc | |
|
654 Warner Rd Hubbard OH 44425-2729 | |
| (330) 729-5358 | |
| Not Available |
| Full Name | Dr. Alyce Cisine, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 654 Warner Rd, Hubbard, Ohio |
| Authorized Official Name and Position | Alyce Cisine (CLINICAL PSYCHOLOGIST / MANAGER) |
| Authorized Official Contact | 3307295358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Alyce Cisine, Llc 654 Warner Rd Hubbard OH 44425-2729 Ph: (330) 729-5358 | Dr. Alyce Cisine, Llc 654 Warner Rd Hubbard OH 44425-2729 Ph: (330) 729-5358 |
| NPI Number | 1801321880 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 0840567731 |
|---|---|
| Medicare Enrollment ID | O20170524002303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801321880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6848 (Ohio) | Primary |
| Provider Name | Alyce Cisine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194981530 PECOS PAC ID: 0547560203 Enrollment ID: I20151202000252 |
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