Steven J. Ceresnie in Plymouth - Clinical Child & Adolescent

Steven J. Ceresnie - NPI 1942475348

Steven J. Ceresnie is a Clinical Child & Adolescent in Plymouth, Michigan. Steven J. Ceresnie practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Steven J. Ceresnie is 1942475348. The last update date is 2009-01-19.

Steven J. Ceresnie's current location address is 199 N Main St, Plymouth, Michigan. You can contact this provider via phone number 7344539290 and fax number 7344539293. The mailing address for Steven J. Ceresnie is 199 N Main St, Plymouth, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven J. Ceresnie
Address 199 N Main St, Plymouth, Michigan
Phone Number 7344539290
Fax Number 7344539293
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1942475348
Provider Enumeration Date 2008-04-25
Last Updated Date 2009-01-19

Provider Mailing Address Detail

Address 199 N Main St
City Plymouth
State Michigan (MI)
Post Code 481701272
Phone Number 7344539290
Fax Number 7344539293

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 6301002659
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
620H24558 MI BLUE CROSS OF MICHIGAN

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FAQs about Steven J. Ceresnie

What is the unique identifier code issued to Steven J. Ceresnie by the Centers for Medicare & Medicaid Services?

The Steven J. Ceresnie has been assigned the NPI (National Provider Identifier) 1942475348. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Steven J. Ceresnie is physically located?

The Steven J. Ceresnie is situated at the following address: 199 N Main St, Plymouth, MI 481701272.

What is the Steven J. Ceresnie's specialty and taxonomy code?

The Steven J. Ceresnie's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.

On what date did Steven J. Ceresnie receive its 1942475348 assignment from the Centers for Medicare & Medicaid Services?

The Steven J. Ceresnie was assigned its 1942475348 on 2008-04-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Steven J. Ceresnie most recently updated or revised?

The information pertaining to Steven J. Ceresnie, including its address, specialty, and other relevant details, was last updated or revised on 2009-01-19.

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