Provider Demographics
NPI:1336206879
Name:KESSLER, CAROL S (PHD, LAC, LMT)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:S
Last Name:KESSLER
Suffix:
Gender:F
Credentials:PHD, LAC, LMT
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:S
Other - Last Name:KESSLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LAC, LMT
Mailing Address - Street 1:187 PINE ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-4527
Mailing Address - Country:US
Mailing Address - Phone:845-334-9340
Mailing Address - Fax:845-334-9343
Practice Address - Street 1:187 PINE ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-4527
Practice Address - Country:US
Practice Address - Phone:845-334-9340
Practice Address - Fax:845-334-9343
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003666225700000X
NY000610171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Not Answered171100000XOther Service ProvidersAcupuncturist