Provider Demographics
NPI:1891556023
Name:WESSMAN, ANN RICHELLE
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:RICHELLE
Last Name:WESSMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 MONTREAL DR
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-4960
Mailing Address - Country:US
Mailing Address - Phone:903-918-2830
Mailing Address - Fax:
Practice Address - Street 1:750 MONTREAL DR
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-4960
Practice Address - Country:US
Practice Address - Phone:903-918-2830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician