Healthcare Provider Details

I. General information

NPI: 1760526792
Provider Name (Legal Business Name): BARBARA G PEARLMAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BARBARA S GLINE PH.D.

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 02/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6262 MONTROSE RD
ROCKVILLE MD
20852-4119
US

IV. Provider business mailing address

PO BOX 532
GARRETT PARK MD
20896-0532
US

V. Phone/Fax

Practice location:
  • Phone: 301-942-1995
  • Fax: 301-942-8334
Mailing address:
  • Phone: 301-942-1995
  • Fax: 301-942-8334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2152
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2152
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number2152
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: