Provider Demographics
NPI:1205184942
Name:CHEFF, ANDREW PAUL (PSYD LP)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:PAUL
Last Name:CHEFF
Suffix:
Gender:M
Credentials:PSYD LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 STONE CLIFF CT
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1569
Mailing Address - Country:US
Mailing Address - Phone:248-219-8020
Mailing Address - Fax:
Practice Address - Street 1:711 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-1241
Practice Address - Country:US
Practice Address - Phone:269-408-8474
Practice Address - Fax:269-982-0202
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301016930103TF0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic