Individual
CHEREE LOUISE FENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
761 MAIN AVE STE 104, NORWALK, CT 06851
(203) 855-9691
(203) 855-9791
Mailing address
103 ROCK SPRING RD, UNIT 1, STAMFORD, CT 06906-1954
(917) 566-4165
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
002923
CT
103TC0700X
Clinical Psychologist
015866
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03142541
—
NY
Enumeration date
08/20/2009
Last updated
06/20/2018
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