Provider Demographics
NPI:1649738162
Name:HESSERT, RACHEL (MED)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HESSERT
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:HAUPT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:120 HAMM DR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-7496
Practice Address - Country:US
Practice Address - Phone:570-271-6211
Practice Address - Fax:570-522-9431
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019349103T00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist