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Individual

JEFFREY L. CHERNIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

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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