Provider Demographics
NPI:1386780930
Name:CHERNEY, GREGORY N (PHD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:N
Last Name:CHERNEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:GREG
Other - Middle Name:
Other - Last Name:CHERNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:7170 N FINANCIAL DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2939
Mailing Address - Country:US
Mailing Address - Phone:559-449-2732
Mailing Address - Fax:559-449-2733
Practice Address - Street 1:7170 N FINANCIAL DR
Practice Address - Street 2:SUITE 102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2939
Practice Address - Country:US
Practice Address - Phone:559-449-2732
Practice Address - Fax:559-449-2733
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10059103TC0700X, 103TC2200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist