Provider Demographics
NPI:1871987412
Name:JONES, CHERYL YVETTE (MSW,NCACII,CADC,CCDP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:YVETTE
Last Name:JONES
Suffix:
Gender:F
Credentials:MSW,NCACII,CADC,CCDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 MAYPOLE RD
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-4105
Mailing Address - Country:US
Mailing Address - Phone:267-588-3273
Mailing Address - Fax:484-466-2757
Practice Address - Street 1:217 MAYPOLE RD
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-4105
Practice Address - Country:US
Practice Address - Phone:267-588-3273
Practice Address - Fax:484-466-2757
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002499103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst