Provider Demographics
NPI:1306963632
Name:PEARL, ANN (MS)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:PEARL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:ANNIE
Other - Middle Name:BLOCK
Other - Last Name:PEARL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:130 E 18TH ST
Mailing Address - Street 2:SUITE 10D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2416
Mailing Address - Country:US
Mailing Address - Phone:646-270-3276
Mailing Address - Fax:
Practice Address - Street 1:185 MADISON AVE
Practice Address - Street 2:SUITE 1501
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4325
Practice Address - Country:US
Practice Address - Phone:646-270-3276
Practice Address - Fax:212-447-1967
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist