Individual
DR. BENITA K CHERNYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5005 ROCKSIDE RD STE 600, INDEPENDENCE, OH 44131-6827
(216) 382-2929
(216) 751-8348
Mailing address
PO BOX 202653, CLEVELAND, OH 44120-8127
(216) 382-2929
(216) 751-8348
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
933731
OH
103T00000X
Psychologist
4412
OH
103TA0400X
Addiction (Substance Use Disorder) Psychologist
933731
OH
103TC0700X
Clinical Psychologist
Primary
4412
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0825727
—
OH
Enumeration date
07/28/2006
Last updated
07/15/2024
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