Individual
CHEYNE STRESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 WATERSEDGE CT, OXFORD, MI 48371-3682
(248) 464-2408
Mailing address
945 WATERSEDGE CT, OXFORD, MI 48371-3682
(248) 464-2408
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
S362115676167
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XYW916973978
9101000021
MI
Enumeration date
09/12/2019
Last updated
09/12/2019
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