Provider Demographics
NPI:1235273442
Name:CHESHIER, WILLIAM LESLIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LESLIE
Last Name:CHESHIER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 5TH AVE
Mailing Address - Street 2:SUITE 8D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3033
Mailing Address - Country:US
Mailing Address - Phone:212-691-0647
Mailing Address - Fax:
Practice Address - Street 1:77 5TH AVE
Practice Address - Street 2:SUITE 8D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3033
Practice Address - Country:US
Practice Address - Phone:212-691-0647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18 000195101YM0800X
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health