Provider Demographics
NPI:1588733190
Name:PEARLMAN, SARAH F (PSYD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:F
Last Name:PEARLMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:F
Other - Last Name:PEARLMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:791 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-4233
Mailing Address - Country:US
Mailing Address - Phone:860-768-4691
Mailing Address - Fax:
Practice Address - Street 1:791 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-4233
Practice Address - Country:US
Practice Address - Phone:860-768-4691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001837103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical