Provider Demographics
NPI:1922405968
Name:CERNIKOVSKY, DAVID TOMAS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:TOMAS
Last Name:CERNIKOVSKY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 BROOKTREE RD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-2438
Mailing Address - Country:US
Mailing Address - Phone:347-624-2581
Mailing Address - Fax:
Practice Address - Street 1:9810 PATUXENT WOODS DR
Practice Address - Street 2:SUITE F
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1595
Practice Address - Country:US
Practice Address - Phone:443-923-7752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program