Provider Demographics
NPI:1154120574
Name:JEAN-PIERRE, CHERYL-LYNN
Entity type:Individual
Prefix:
First Name:CHERYL-LYNN
Middle Name:
Last Name:JEAN-PIERRE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08302-1533
Mailing Address - Country:US
Mailing Address - Phone:856-885-0605
Mailing Address - Fax:
Practice Address - Street 1:5 NORTH ST
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:NJ
Practice Address - Zip Code:08302-1533
Practice Address - Country:US
Practice Address - Phone:856-885-0605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician