Provider Demographics
NPI:1174793665
Name:KESSLER, WENDY (MED)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:
Last Name:KESSLER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 OCEAN ST
Mailing Address - Street 2:#1
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-2061
Mailing Address - Country:US
Mailing Address - Phone:781-592-2309
Mailing Address - Fax:
Practice Address - Street 1:95 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-1524
Practice Address - Country:US
Practice Address - Phone:781-581-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor