Individual
DR. CALEB MARK PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
222 W THOMAS RD, SUITE 315, PHOENIX, AZ 85013-4419
(602) 406-3671
(602) 406-6115
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6765
(602) 406-3860
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4200
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
639492
—
AZ
Enumeration date
03/30/2007
Last updated
04/17/2012
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