Provider Demographics
NPI:1164988440
Name:KESSLER, ELIANA (LHAS)
Entity Type:Individual
Prefix:
First Name:ELIANA
Middle Name:
Last Name:KESSLER
Suffix:
Gender:F
Credentials:LHAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 PARKVIEW DR APT 615
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-8905
Mailing Address - Country:US
Mailing Address - Phone:954-258-5465
Mailing Address - Fax:
Practice Address - Street 1:1000 PARKVIEW DR APT 615
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-8905
Practice Address - Country:US
Practice Address - Phone:954-258-5465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5114237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist