| Organization Name: | STEVEN J CERESNIE PHD PC |
| NPI Number: | 1013166578 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN J CERESNIE (OWNER) |
| Mailing Address: | 199 N Main St Plymouth |
| State: | MI US |
| Postal Code: | 481701272 |
| Phone Number: | 7344539290 |
| Fax Number: | 7344539293 |
| NPI Enumeration Date: | 09/09/2008 |
| NPI Last Update Date: | 10/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 6301002659 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |