Provider Demographics
NPI:1750401113
Name:KAMISAR, ESTHER E (PHD)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:E
Last Name:KAMISAR
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 1:1047 GLENDEVON CT
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-1855
Mailing Address - Country:US
Mailing Address - Phone:215-628-8646
Mailing Address - Fax:
Practice Address - Street 1:1047 GLENDEVON CT
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-1855
Practice Address - Country:US
Practice Address - Phone:215-628-8646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003790L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA068857Medicare ID - Type UnspecifiedPROVIDER NUMBER