Provider Demographics
NPI:1437029592
Name:DEDEAUX, SHERRIELL MARIE
Entity type:Individual
Prefix:
First Name:SHERRIELL
Middle Name:MARIE
Last Name:DEDEAUX
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 1:410 TURLINGTON RD APT 7
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2419
Mailing Address - Country:US
Mailing Address - Phone:757-309-3831
Mailing Address - Fax:
Practice Address - Street 1:410 TURLINGTON RD APT 7
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2419
Practice Address - Country:US
Practice Address - Phone:757-309-3831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst