Provider Demographics
NPI:1356887418
Name:JEAN PIERRE-MCPHERSON, CHERALDINE M
Entity type:Individual
Prefix:
First Name:CHERALDINE
Middle Name:M
Last Name:JEAN PIERRE-MCPHERSON
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 1:8301 ASHFORD BLVD APT 201
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5637
Mailing Address - Country:US
Mailing Address - Phone:410-627-4421
Mailing Address - Fax:
Practice Address - Street 1:8301 ASHFORD BLVD APT 201
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5637
Practice Address - Country:US
Practice Address - Phone:410-627-4421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services