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

Line Ornella Fassu Siankam

Individual provider Psychiatric Pharmacist · NPI 1932646502

Line Ornella Fassu Siankam is a Psychiatric Pharmacist in Georgetown, Texas. Works from 2 locations. Licensed in California and Texas.

Licensed in
CA, TX
In the registry since
2017
Specialties on file
2

Practice location Address checks out

2423 Williams Dr Ste 105
Georgetown, TX 78628-3200
Phone: (877) 800-5722
Show map & directions

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

Additional practice locations (1)

  • 2094 Pitkin Ave, Brooklyn, NY 11207-3509 — (718) 240-0400

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 62350 (TX)
Psychiatric Pharmacist Taxonomy 1835P1300X · Licence 76080 (CA)

Record details

NPI number1932646502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2017
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025