Provider Demographics
NPI:1215196415
Name:CHERNIZER, MARC L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:L
Last Name:CHERNIZER
Suffix:
Gender:M
Credentials:PSYD
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Mailing Address - Street 1:2530 ELDORADO PKWY
Mailing Address - Street 2:SUITE 205C
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4398
Mailing Address - Country:US
Mailing Address - Phone:972-839-8308
Mailing Address - Fax:888-977-1204
Practice Address - Street 1:2530 ELDORADO PKWY
Practice Address - Street 2:SUITE 205C
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-4398
Practice Address - Country:US
Practice Address - Phone:972-839-8308
Practice Address - Fax:888-977-1204
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX33556103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical