Provider Demographics
NPI:1316765381
Name:PEARSON-DEES, LATASHA M
Entity type:Individual
Prefix:MRS
First Name:LATASHA
Middle Name:M
Last Name:PEARSON-DEES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-4147
Mailing Address - Country:US
Mailing Address - Phone:201-344-0334
Mailing Address - Fax:
Practice Address - Street 1:66 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-4147
Practice Address - Country:US
Practice Address - Phone:201-344-0334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst