Individual
ELISE SARAH PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
(313) 916-7263
Mailing address
13660 TALBOT ST, OAK PARK, MI 48237-1128
(248) 729-1060
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301019488
MI
103TC0700X
Clinical Psychologist
Primary
6301019488
MI
Other
Enumeration date
05/18/2021
Last updated
04/30/2025
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