Provider Demographics
NPI:1801140256
Name:PIERRE, SHERYL LORI (PHD)
Entity type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:LORI
Last Name:PIERRE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SHERYL
Other - Middle Name:LORI
Other - Last Name:PIERRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:128 BORTONS LANDING ROAD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057
Mailing Address - Country:US
Mailing Address - Phone:856-780-6293
Mailing Address - Fax:856-780-6294
Practice Address - Street 1:128 BORTONS LANDING ROAD
Practice Address - Street 2:SUITE 2
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057
Practice Address - Country:US
Practice Address - Phone:856-780-6293
Practice Address - Fax:856-780-6294
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00537600103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent