=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760526792
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARBARA G PEARLMAN PH.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/15/2007
-----------------------------------------------------
Last Update Date | 02/06/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6262 MONTROSE RD
-----------------------------------------------------
City | ROCKVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20852-4119
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-942-1995
-----------------------------------------------------
Fax | 301-942-8334
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 532
-----------------------------------------------------
City | GARRETT PARK
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20896-0532
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-942-1995
-----------------------------------------------------
Fax | 301-942-8334
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | 2152
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103TC2200X
-----------------------------------------------------
Taxonomy Name | Clinical Child & Adolescent Psychologist
-----------------------------------------------------
License Number | 2152
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | 2152
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------