| Doctor Name: | DR. COLLEEN M. PEARSON |
| NPI Number: | 1013223874 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PSY003396 |
| Business Practice Address: | 1881 N University Dr Suite 104 Coral Springs, FL - 330718915 |
| Business Phone Number: | 9543400888 |
| Business Fax Number: | 9543460909 |
| Mailing Address: | 1881 N University Dr, Suite 104 CORAL SPRINGS |
| State: | FL |
| Postal Code: | 330718915 |
| Phone Number: | 9543400888 |
| Fax Number: | 9543460909 |
| NPI Enumeration Date: | 08/30/2010 |
| NPI Last Update Date: | 08/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY003396 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |