Kessler Psychological, Llc | |
4164 Virginia Beach Blvd Ste 204 Virginia Beach VA 23452 | |
(757) 622-1060 | |
(757) 622-1601 |
Full Name | Kessler Psychological, Llc |
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Speciality | Community/Behavioral Health |
Location | 4164 Virginia Beach Blvd Ste 204, Virginia Beach, Virginia |
Authorized Official Name and Position | Lena Kessler (LICENSED CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7576221060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kessler Psychological, Llc 142 W York St Suite 609 Norfolk VA 23510-2015 Ph: (757) 622-1060 | Kessler Psychological, Llc 4164 Virginia Beach Blvd Ste 204 Virginia Beach VA 23452 Ph: (757) 622-1060 |
NPI Number | 1356769749 |
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Provider Enumeration Date | 04/02/2014 |
Last Update Date | 08/13/2018 |
Medicare PECOS PAC ID | 5698999639 |
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Medicare Enrollment ID | O20140613001945 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356769749 | NPI | - | NPPES |
1548500028 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 915238 (Virginia) | Primary |
Provider Name | Lena S Kessler |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548500028 PECOS PAC ID: 8224252267 Enrollment ID: I20140613001990 |
Provider Name | Michael L Kohn |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194817106 PECOS PAC ID: 1254798960 Enrollment ID: I20230611000006 |
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