Individual
CRAIG W PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
3804 CHURCH RD, MOUNT LAUREL, NJ 08054-1106
(856) 778-2100
(856) 787-9588
Mailing address
3804 CHURCH RD, MOUNT LAUREL, NJ 08054-1106
(856) 778-2100
(856) 787-9588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00278800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4595009
—
NJ
Enumeration date
08/30/2006
Last updated
04/24/2008
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