Individual
DR. SALLY A. PEARNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11 BALA AVE, BALA EXECUTIVE COMMONS #48, BALA CYNWYD, PA 19004-3201
(215) 842-3992
Mailing address
11 BALA AVE, BALA EXECUTIVE COMMONS #48, BALA CYNWYD, PA 19004-3201
(215) 842-3992
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS001701L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062993000
PERSONAL CHOICE
PA
Enumeration date
09/02/2006
Last updated
07/08/2007
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