Provider Demographics
NPI:1215177738
Name:TESSLER, DAVID M (PSY D)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:TESSLER
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 NE 14TH ST
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-4122
Mailing Address - Country:US
Mailing Address - Phone:561-251-6424
Mailing Address - Fax:
Practice Address - Street 1:2421 HOLLYWOOD BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020
Practice Address - Country:US
Practice Address - Phone:561-251-6424
Practice Address - Fax:954-923-9190
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7855103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPY7855OtherCLINICAL PSYCHOLOGIST