Individual
DR. IRA HAYM PEARLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1709 COLLEY AVE, STE 202, NORFOLK, VA 23517-1675
(757) 625-5623
(757) 627-1557
Mailing address
1709 COLLEY AVE, STE 202, NORFOLK, VA 23517-1675
(757) 625-5623
(757) 627-1557
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000975
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018993
VALUE OPTIONS
VA
01
—
066475
ANTHEM BC/BS
VA
01
—
080016
SENTARA BEH. HEALTH
VA
Enumeration date
05/23/2005
Last updated
07/08/2007
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