Individual
PEARL BACDAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
25 OLD WESTPORT RD, NORTH DARTMOUTH, MA 02747-2513
(508) 990-9922
(508) 990-9960
Mailing address
25 OLD WESTPORT RD, NORTH DARTMOUTH, MA 02747-2513
(508) 990-9922
(508) 990-9960
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7924
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1897969
—
MA
01
—
W05931
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/02/2007
Last updated
07/08/2007
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