Individual
DR. PEARL AILSA COAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(301) 399-9119
Mailing address
12530 FAIRWOOD PKWY STE 102231, BOWIE, MD 20720-6356
(301) 399-9119
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
03437
MD
103TC0700X
Clinical Psychologist
0810000357
VA
103TC0700X
Clinical Psychologist
O3437
MD
103TC0700X
Clinical Psychologist
PSY1000044
DC
Other
Enumeration date
04/15/2010
Last updated
06/01/2025
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