Individual
GINA L PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP, LPA
Contact information
Practice address
8821 DAVIS BLVD # 310, KELLER, TX 76248-0327
(817) 492-5105
Mailing address
4230 FAIRWAY DR APT 9203, CARROLLTON, TX 75010-3282
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38599
TX
103T00000X
Psychologist
6361005090
MI
103TC0700X
Clinical Psychologist
6301016702
MI
Other
Enumeration date
02/06/2017
Last updated
05/26/2021
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