Provider Demographics
NPI:1184875775
Name:KESSLER, DEBRA T (PSYD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:T
Last Name:KESSLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2233 HONOLULU AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1635
Mailing Address - Country:US
Mailing Address - Phone:818-248-6414
Mailing Address - Fax:818-790-6510
Practice Address - Street 1:2233 HONOLULU AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1635
Practice Address - Country:US
Practice Address - Phone:818-248-6414
Practice Address - Fax:818-790-6510
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19100103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical