Individual
COREY PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18700 OXNARD ST, TARZANA, CA 91356-1413
(818) 996-1051
Mailing address
18700 OXNARD ST, TARZANA, CA 91356-1413
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2021
Last updated
09/05/2023
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