Organization
UPSTATE PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE L KESSLER PH.D. (OWNER, LICENSED PSYCHOLOGIST)
(864) 735-0662
Entity
Organization
Contact information
Practice address
3441 PELHAM RD STE 103, GREENVILLE, SC 29615-4184
(864) 735-0662
(864) 568-7262
Mailing address
105 NORMAN PL, GREENVILLE, SC 29615-6079
(864) 735-0662
(864) 568-7282
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
10/04/2019
Last updated
01/21/2024
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