Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PS009258L | PA |
NPI | 1073739181 |
---|---|
Provider Name | Dr. Marcy Chessler |
First Address | Voorhees, NJ 08043-1657 |
Second Address | Philadelphia, PA 19103-6231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 28/11/2016 |