Provider Demographics
NPI:1356711204
Name:ESTEVES-WESSMAN, INES (PHD)
Entity type:Individual
Prefix:
First Name:INES
Middle Name:
Last Name:ESTEVES-WESSMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 PONDFIELD RD
Mailing Address - Street 2:OFFICE # 12
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3807
Mailing Address - Country:US
Mailing Address - Phone:914-961-4344
Mailing Address - Fax:
Practice Address - Street 1:65 PONDFIELD RD
Practice Address - Street 2:OFFICE # 12
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3807
Practice Address - Country:US
Practice Address - Phone:914-961-4344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015679103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist