Provider Demographics
NPI:1265506364
Name:TRIPLETT, CHERYL B (PSYS, LLP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:B
Last Name:TRIPLETT
Suffix:
Gender:F
Credentials:PSYS, LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23160 HALSTED RD APT 202
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-3754
Mailing Address - Country:US
Mailing Address - Phone:248-469-3707
Mailing Address - Fax:
Practice Address - Street 1:13101 ALLEN RD
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-2216
Practice Address - Country:US
Practice Address - Phone:734-785-7700
Practice Address - Fax:734-287-2943
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6361004640103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist