Individual
MS. LISA Z KESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3975 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-5426
(215) 879-1000
Mailing address
804 NORFOLK RD, RYDAL, PA 19046-3417
(215) 740-0996
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL006071L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019364550003
—
PA
Enumeration date
04/02/2007
Last updated
07/08/2007
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