| Drs Chernin & Egan Inc | |
|
6505 Rockside Rd Ste. 120 Independence OH 44131-2342 | |
| (216) 524-1900 | |
| (216) 524-9823 |
| Full Name | Drs Chernin & Egan Inc |
|---|---|
| Speciality | Psychologist |
| Location | 6505 Rockside Rd, Independence, Ohio |
| Authorized Official Name and Position | Jeffrey L Chernin (PRESIDENT) |
| Authorized Official Contact | 4409519669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Chernin & Egan Inc 35104 Euclid Ave. Ste. 110 Willoughby OH 44094-4519 Ph: (440) 951-9669 | Drs Chernin & Egan Inc 6505 Rockside Rd Ste. 120 Independence OH 44131-2342 Ph: (216) 524-1900 |
| NPI Number | 1457466880 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 12/03/2008 |
| Medicare PECOS PAC ID | 4082606975 |
|---|---|
| Medicare Enrollment ID | O20040331001352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457466880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jeffrey L Chernin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205941648 PECOS PAC ID: 7719979616 Enrollment ID: I20040401000931 |
| Provider Name | Teresa Anne Egan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508971599 PECOS PAC ID: 4880686781 Enrollment ID: I20040526001378 |
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