Craig W Pearl is a Clinical in Mount Laurel, New Jersey. Craig W Pearl practices all healthcare services and medical treatments related to Clinical. The NPI Number for Craig W Pearl is 1053421115. The last update date is 2008-04-24.
Craig W Pearl's current location address is 3804 Church Rd, Mount Laurel, New Jersey. You can contact this provider via phone number 8567782100 and fax number 8567879588. The mailing address for Craig W Pearl is 3804 Church Rd, Mount Laurel, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig W Pearl |
|---|---|
| Address | 3804 Church Rd, Mount Laurel, New Jersey |
| Phone Number | 8567782100 |
| Fax Number | 8567879588 |
| Sole Proprietor | N |
| Credentials | PSY D |
NPI Number Detail
| NPI Number | 1053421115 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2008-04-24 |
Provider Mailing Address Detail
| Address | 3804 Church Rd |
|---|---|
| City | Mount Laurel |
| State | New Jersey (NJ) |
| Post Code | 80541106 |
| Phone Number | 8567782100 |
| Fax Number | 8567879588 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 35SI00278800 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4595009 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Craig W Pearl by the Centers for Medicare & Medicaid Services?
The Craig W Pearl has been assigned the NPI (National Provider Identifier) 1053421115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Craig W Pearl's facilities are situated?
The facilities of Craig W Pearl are physically located at the following address: 3804 Church Rd, Mount Laurel, NJ, 80541106.
What is Craig W Pearl's specialized field of practice, and what is the corresponding taxonomy classification code?
The Craig W Pearl's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Craig W Pearl receive the assignment of its 1053421115 from the Centers for Medicare & Medicaid Services?
The Craig W Pearl was issued its 1053421115 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information regarding Craig W Pearl, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Craig W Pearl, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-24.