Provider Demographics
NPI:1376387910
Name:TELL, CHERYL MARIE
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:MARIE
Last Name:TELL
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 1:1910 E 81ST ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-4209
Mailing Address - Country:US
Mailing Address - Phone:216-410-5147
Mailing Address - Fax:
Practice Address - Street 1:1910 E 81ST ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-4209
Practice Address - Country:US
Practice Address - Phone:216-410-5147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor