Provider Demographics
NPI:1003254103
Name:PEARLMAN, JENNIFER (LPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:PEARLMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 RIVERVIEW DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BRIELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08730-1749
Mailing Address - Country:US
Mailing Address - Phone:732-223-2085
Mailing Address - Fax:732-223-1831
Practice Address - Street 1:800 RIVERVIEW DR
Practice Address - Street 2:SUITE 108
Practice Address - City:BRIELLE
Practice Address - State:NJ
Practice Address - Zip Code:08730-1749
Practice Address - Country:US
Practice Address - Phone:732-223-2085
Practice Address - Fax:732-223-1831
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-11
Last Update Date:2017-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00553500101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional