| Doctor Name: | CRAIG W PEARL |
| NPI Number: | 1053421115 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY D |
| License Number: | 35SI00278800 |
| Business Practice Address: | 3804 Church Rd Mount Laurel, NJ - 080541106 |
| Business Phone Number: | 8567782100 |
| Business Fax Number: | 8567879588 |
| Mailing Address: | 3804 Church Rd, MOUNT LAUREL |
| State: | NJ |
| Postal Code: | 080541106 |
| Phone Number: | 8567782100 |
| Fax Number: | 8567879588 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 04/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 35SI00278800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |