Healthcare Provider Details

I. General information

NPI: 1801933536
Provider Name (Legal Business Name): CHERYL LYNN PERONE LICENSED PYCH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 SCOTT AVE
MORGANTOWN WV
26508-8804
US

IV. Provider business mailing address

212 DORIS RD
MORGANTOWN WV
26501-7033
US

V. Phone/Fax

Practice location:
  • Phone: 304-296-1731
  • Fax: 304-225-2288
Mailing address:
  • Phone: 304-296-1731
  • Fax: 304-225-2288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number539
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number539
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: