Organization Name: | CRAIG W. PEARL, PSY.D., P.C. |
NPI Number: | 1043320104 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EUGENIA WARHOL SKUBY (OFFICE MANAGER) |
Mailing Address: | 3804 Church Rd Mount Laurel |
State: | NJ US |
Postal Code: | 080541106 |
Phone Number: | 8567782100 |
Fax Number: | 8567879588 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 06/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |