Provider Demographics
NPI:1629332358
Name:CHECE, STEPHEN DAVID (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:DAVID
Last Name:CHECE
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 1:18 KINGS HWY # 104
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2509
Mailing Address - Country:US
Mailing Address - Phone:732-829-4654
Mailing Address - Fax:732-671-8704
Practice Address - Street 1:18 KINGS HWY # 104
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2509
Practice Address - Country:US
Practice Address - Phone:732-829-4654
Practice Address - Fax:732-671-8704
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012341-1103T00000X
NJ35S100419900103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist