Organization
RONALD D. PEARSE,EDD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD D. PEARSE ED.D (PSYCHOLOGIST)
(304) 367-9232
Entity
Organization
Contact information
Practice address
1314 LOCUST AVE., FAIRMONT, WV 26554
(304) 367-0232
(304) 367-0233
Mailing address
1314 LOCUST AVE., FAIRMONT, WV 26554
(304) 367-0232
(304) 367-0233
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000125
—
WV
Enumeration date
09/27/2006
Last updated
08/22/2020
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