Provider Demographics
NPI:1407181282
Name:KESSNER, GILDA L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GILDA
Middle Name:L
Last Name:KESSNER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 181954
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-8954
Mailing Address - Country:US
Mailing Address - Phone:214-455-7692
Mailing Address - Fax:
Practice Address - Street 1:10215 KILARNEY DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-2932
Practice Address - Country:US
Practice Address - Phone:214-455-7692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26886103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist