Provider Demographics
NPI:1104953512
Name:KESSLER, CANDICE BLAIRE (ART THERAPIST MA)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:BLAIRE
Last Name:KESSLER
Suffix:
Gender:F
Credentials:ART THERAPIST MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6822
Mailing Address - Country:US
Mailing Address - Phone:215-850-3235
Mailing Address - Fax:
Practice Address - Street 1:415 MEADOWBROOK DR
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6822
Practice Address - Country:US
Practice Address - Phone:215-850-3235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist