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CRAIG W. PEARL PSY.D. P.C. NPI 1043320104


NPI Information

NPI: 1043320104
Provider Name: CRAIG W. PEARL, PSY.D., P.C.

Doing Business As: PEARL PROF PSYCH SERVICES

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
3804 CHURCH RD
MOUNT LAUREL, NJ
ZIP 08054
Phone: (856) 778-2100
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CRAIG W. PEARL, PSY.D., P.C. is a clinical psychologist in Mount Laurel, NJ. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. CRAIG W. PEARL, PSY.D., P.C. NPI is 1043320104. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pearl Prof Psych Services.

The provider's business location address is:

3804 CHURCH RD
MOUNT LAUREL, NJ
ZIP 08054-106
Phone: (856) 778-2100
Fax: (856) 787-9588

The provider's authorized official is Eugenia Warhol Skuby .
The authorized official title is Office Manager and has the following contact phone number (856) 778-2100.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 6/26/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17406401MEDICAIDNEW JERSEY
2898160MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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