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General NPI Number Information
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NPI Number | 1356769749
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Entity Type | Organization
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Legal Business Name | KESSLER PSYCHOLOGICAL, LLC
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 4164 VIRGINIA BEACH BLVD STE 204
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452
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Country | US
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Telephone | 757-622-1060
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Fax | 757-622-1601
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Provider Business Mailing Address
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Address Line | 142 W YORK ST SUITE 609
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City | NORFOLK
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State | VA
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Zip | 23510-2015
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Country | US
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Telephone | 757-622-1060
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Fax | 757-622-1601
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. LENA KESSLER
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Credential |
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Telephone | 757-622-1060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 915238
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License Number State | VA
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