Provider Demographics
NPI:1053870279
Name:MESSER PSYCHOLOGICAL SERVICES, PC
Entity type:Organization
Organization Name:MESSER PSYCHOLOGICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DREW
Authorized Official - Middle Name:CARLSON
Authorized Official - Last Name:MESSER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:716-961-9435
Mailing Address - Street 1:8616 MAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7461
Mailing Address - Country:US
Mailing Address - Phone:716-961-9435
Mailing Address - Fax:716-961-9436
Practice Address - Street 1:8616 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7461
Practice Address - Country:US
Practice Address - Phone:716-961-9435
Practice Address - Fax:716-961-9436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty