Provider Demographics
NPI:1033320569
Name:MESTER, MARY ELIZABETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:ELIZABETH
Last Name:MESTER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 HOLSTEIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:PA
Mailing Address - Zip Code:19405-1510
Mailing Address - Country:US
Mailing Address - Phone:610-279-1268
Mailing Address - Fax:610-757-1060
Practice Address - Street 1:ST. AUGUSTINE'S SCHOOL
Practice Address - Street 2:BUSH & RAMBO STS
Practice Address - City:BRIDGEPORT
Practice Address - State:PA
Practice Address - Zip Code:19405-1510
Practice Address - Country:US
Practice Address - Phone:610-279-1268
Practice Address - Fax:610-757-1060
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor