Provider Demographics
NPI:1497053888
Name:LICHT, BESS (MS)
Entity Type:Individual
Prefix:MRS
First Name:BESS
Middle Name:
Last Name:LICHT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:BESS
Other - Middle Name:
Other - Last Name:WACHSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:583 UNION RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-2115
Mailing Address - Country:US
Mailing Address - Phone:845-354-1669
Mailing Address - Fax:
Practice Address - Street 1:583 UNION RD
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-2115
Practice Address - Country:US
Practice Address - Phone:845-354-1669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst