Provider Demographics
NPI:1558489815
Name:HESS, RICHARD R JR
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:R
Last Name:HESS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 APPLE ST
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9721
Mailing Address - Country:US
Mailing Address - Phone:717-444-3413
Mailing Address - Fax:717-444-3412
Practice Address - Street 1:1386 OLD FREEPORT RD
Practice Address - Street 2:SUITEB
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3115
Practice Address - Country:US
Practice Address - Phone:888-734-2304
Practice Address - Fax:412-963-6068
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC002322L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist