Provider Demographics
NPI:1083804215
Name:YARRELL, CHERYL JEAN (MS, ITFS)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:JEAN
Last Name:YARRELL
Suffix:
Gender:F
Credentials:MS, ITFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 DAVID DR
Mailing Address - Street 2:APT. E-18
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-4865
Mailing Address - Country:US
Mailing Address - Phone:252-931-9018
Mailing Address - Fax:252-931-9018
Practice Address - Street 1:100 DAVID DR
Practice Address - Street 2:APT. E-18
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-4865
Practice Address - Country:US
Practice Address - Phone:252-931-9018
Practice Address - Fax:252-931-9018
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist