Provider Demographics
NPI:1265842777
Name:CHENIER, MARYLAND (MPH)
Entity Type:Individual
Prefix:MRS
First Name:MARYLAND
Middle Name:
Last Name:CHENIER
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 SUMMERSET PL
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-5028
Mailing Address - Country:US
Mailing Address - Phone:504-258-2907
Mailing Address - Fax:919-718-1366
Practice Address - Street 1:329 CARTHAGE ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4206
Practice Address - Country:US
Practice Address - Phone:919-718-1355
Practice Address - Fax:919-718-1366
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0052081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical