Provider Demographics
NPI:1578872073
Name:HESSLER, SUSIE M (MSED)
Entity Type:Individual
Prefix:MS
First Name:SUSIE
Middle Name:M
Last Name:HESSLER
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:MISS
Other - First Name:SUSANNE
Other - Middle Name:M
Other - Last Name:HESSLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSED
Mailing Address - Street 1:1517 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-3184
Mailing Address - Country:US
Mailing Address - Phone:308-635-2800
Mailing Address - Fax:308-635-2801
Practice Address - Street 1:1517 BROADWAY
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361
Practice Address - Country:US
Practice Address - Phone:308-635-2800
Practice Address - Fax:308-635-2801
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9233101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional