Pearson, Rodney
Pearson, Rodney is an sole proprietor health care provider with primary practice located at 14324 W Desert Flower Dr , Goodyear AZ 85395-7518. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Pearson, Rodney can be contacted via phone (602) 690-1643.Contact Information
Primary practice address
14324 W Desert Flower Dr
Goodyear AZ 85395-7518
Phone: (602) 690-1643
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LAC5883T | Arizona |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC21139 | Arizona |
Profile Details
| NPI number | 1467962811 |
|---|---|
| LBN Legal business name | Pearson, Rodney |
| Credentials | BS, MSPC, LPC, D.MIN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2017 |
| Last updated | Mar 12th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467962811 | NPPES |
| Arizona | MEDICAID | 21213 |
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