Individual
DR. JEFFRE PHILLIP CHEUVRONT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013557
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01863670
—
NY
Enumeration date
07/10/2006
Last updated
06/09/2011
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