Provider Demographics
NPI:1326366675
Name:JAMES, SHERRI SHYVONNE
Entity type:Individual
Prefix:MS
First Name:SHERRI
Middle Name:SHYVONNE
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 GOLDFINCH BLVD UNIT 267
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6875
Mailing Address - Country:US
Mailing Address - Phone:201-207-5885
Mailing Address - Fax:
Practice Address - Street 1:2107 GOLDFINCH BLVD UNIT 267
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6875
Practice Address - Country:US
Practice Address - Phone:201-207-5885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2024-05-16
Deactivation Date:2020-07-02
Deactivation Code:
Reactivation Date:2024-05-08
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054226001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical