Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deondrae Tyshawn Cisse

Individual provider Adult Development & Aging Psychologist · NPI 1629756622

Deondrae Tyshawn Cisse is an Adult Development & Aging Psychologist in Sumter, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1175 N Guignard Dr
Sumter, SC 29150-1519
Phone: (803) 580-6511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Development & Aging Psychologist (primary) Taxonomy 103TA0700X

Record details

NPI number1629756622
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 10, 2023
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023