Provider Demographics
NPI:1235508755
Name:KESSLER, DEBORAH TREASTER (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:TREASTER
Last Name:KESSLER
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 1:1448 GREEN COOK RD
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-8707
Mailing Address - Country:US
Mailing Address - Phone:740-972-6473
Mailing Address - Fax:
Practice Address - Street 1:1448 GREEN COOK RD
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-8707
Practice Address - Country:US
Practice Address - Phone:740-972-6473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4989103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical