Provider Demographics
NPI:1841024973
Name:KESSLER, MAUREEN VICTORIA (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:VICTORIA
Last Name:KESSLER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:VICTORIA
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 IDELLA AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-1661
Mailing Address - Country:US
Mailing Address - Phone:302-992-5570
Mailing Address - Fax:
Practice Address - Street 1:16 IDELLA AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-1661
Practice Address - Country:US
Practice Address - Phone:302-992-5570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEO1-0012359235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist