Provider Demographics
NPI: | 1790021889 |
---|---|
Name: | BESSLER CONSULTING LLC |
Entity Type: | Organization |
Organization Name: | BESSLER CONSULTING LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OFFICER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | ABRAH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BESSLER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 201-406-0428 |
Mailing Address - Street 1: | 1284 PRINCETON RD |
Mailing Address - Street 2: | |
Mailing Address - City: | TEANECK |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 07666-2821 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 201-406-0428 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 163 ENGLE ST |
Practice Address - Street 2: | BUILDING 2 |
Practice Address - City: | ENGLEWOOD |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 07631-2535 |
Practice Address - Country: | US |
Practice Address - Phone: | 201-816-0216 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-12-18 |
Last Update Date: | 2012-12-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NJ | SI3500386200 | 103TC0700X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Single Specialty |