Pearl, Craig W

Pearl, Craig W is an individual health care provider with primary practice located at 3804 Church Rd , Mount Laurel NJ 08054-1106. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pearl, Craig W can be contacted via phone (856) 778-2100.

Contact Information

Primary practice address
3804 Church Rd Mount Laurel NJ 08054-1106
Phone: (856) 778-2100
Fax: (856) 787-9588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00278800 New Jersey

Profile Details

NPI number 1053421115
LBN Legal business name Pearl, Craig W
Credentials PSY D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 24th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053421115 NPPES
New Jersey MEDICAID 4595009

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