| Doctor Name: | DR. PEARL AILSA COAKLEY |
| NPI Number: | 1427374404 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PSY1000044 |
| Business Practice Address: | 12200 Annapolis Rd Suite 320 Glenn Dale, MD - 207699182 |
| Business Phone Number: | 3013999119 |
| Business Fax Number: | |
| Mailing Address: | 4230 Lavender Ln, BOWIE |
| State: | MD |
| Postal Code: | 207204291 |
| Phone Number: | 3013999119 |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2010 |
| NPI Last Update Date: | 04/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY1000044 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |