Individual
DR. JEFFRE PHILLIP CHEUVRONT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
200 W 20TH ST, SUITE 104, NEW YORK, NY 10011-3558
(212) 352-8599
Mailing address
63 E 9TH ST, APT 11F, NEW YORK, NY 10003-6302
(212) 352-8599
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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