Provider Demographics
NPI:1063097152
Name:PEARSON, DEANNA (AMFT)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:PEARSON
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:MESSIS
Other - Middle Name:
Other - Last Name:DEANNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8465 REGENTS RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-1360
Mailing Address - Country:US
Mailing Address - Phone:858-210-8010
Mailing Address - Fax:
Practice Address - Street 1:8465 REGENTS RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-1360
Practice Address - Country:US
Practice Address - Phone:858-210-8010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA119179106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist