IndividualActive
Angela Cissom, AUD
NPI 1891045282 · Audiologist · Memphis, TN
Provider details
- NPI number
- 1891045282
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AUD
- Sex
- Female
- Sole proprietor
- No
- License
- 01274 (MD)
Practice location
4646 Poplar Ave
Suite 100
Memphis, TN 38117-4426
Phone: (901) 762-0125
Fax: (901) 818-3001
Mailing address
4646 Poplar Ave
Memphis, TN 38117-4426
Registry dates
- Enumerated
- 2012-09-13
- Last updated
- 2016-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.