Alyssa Revuelta, PHD - Psychologist in Mt Pleasant, SC

Alyssa Revuelta, PHD is a Psychologist - Clinical Child & Adolescent based in Mt Pleasant, South Carolina. Alyssa Revuelta is licensed to practice in South Carolina (license number 1184) and her current practice location is 10 Resolute Ln, Suite 207, Mt Pleasant, South Carolina. She can be reached at her office (for appointments etc.) via phone at (843) 810-9682.

NPI number for Alyssa Revuelta is 1871780213 and her current mailing address is 10 Resolute Ln, Suite 207, Mt Pleasant, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871780213.

Contact Information

Alyssa Revuelta, PHD
10 Resolute Ln, Suite 207,
Mt Pleasant, SC 29464-6608
(843) 810-9682
(843) 408-4478

Map and Direction




Healthcare Provider's Profile

Full NameAlyssa Revuelta
GenderFemale
SpecialityPsychologist - Clinical Child & Adolescent
Location10 Resolute Ln, Mt Pleasant, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871780213
  • Provider Enumeration Date: 10/01/2007
  • Last Update Date: 11/13/2012

Medical Identifiers

Medical identifiers for Alyssa Revuelta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871780213NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent 1184 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyssa Revuelta is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alyssa Revuelta, PHD
10 Resolute Ln, Suite 207,
Mt Pleasant, SC 29464-6608

Ph: (843) 810-9682
Alyssa Revuelta, PHD
10 Resolute Ln, Suite 207,
Mt Pleasant, SC 29464-6608

Ph: (843) 810-9682

Reviews and Comments


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