| Pearl Prof Psych Services | |
|
3804 Church Rd Mount Laurel NJ 08054-1106 | |
| (856) 778-2100 | |
| (856) 787-9588 |
| Full Name | Pearl Prof Psych Services |
|---|---|
| Speciality | Psychologist |
| Location | 3804 Church Rd, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Eugenia Warhol Skuby (OFFICE MANAGER) |
| Authorized Official Contact | 8567782100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Prof Psych Services 3804 Church Rd Mount Laurel NJ 08054-1106 Ph: (856) 778-2100 | Pearl Prof Psych Services 3804 Church Rd Mount Laurel NJ 08054-1106 Ph: (856) 778-2100 |
| NPI Number | 1043320104 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 06/26/2008 |
| Medicare PECOS PAC ID | 6002711496 |
|---|---|
| Medicare Enrollment ID | O20031126000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043320104 | NPI | - | NPPES |
| 7406401 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Craig W Pearl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053421115 PECOS PAC ID: 1355246752 Enrollment ID: I20041116000012 |
| Provider Name | Janine M Saia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689776692 PECOS PAC ID: 7214975424 Enrollment ID: I20050419000866 |
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