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Individual

JEFFREY L. CHERNIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
6505 ROCKSIDE RD STE 120, INDEPENDENCE, OH 44131-2386
(216) 524-1900
(440) 951-8117
Mailing address
6505 ROCKSIDE RD STE 120, INDEPENDENCE, OH 44131-2386
(216) 524-1900
(440) 951-8117

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3172
OH
103TC0700X
Clinical Psychologist
3172
OH
103TC2200X
Clinical Child & Adolescent Psychologist
3172
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200285149-001
BWC
OH
Enumeration date
08/19/2006
Last updated
06/10/2024
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