Provider Demographics
NPI:1063670024
Name:PEARSON, JOSHUA F III
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:F
Last Name:PEARSON
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7204 WALLACE RD
Mailing Address - Street 2:#125
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-6960
Mailing Address - Country:US
Mailing Address - Phone:704-562-7314
Mailing Address - Fax:
Practice Address - Street 1:7204 WALLACE RD
Practice Address - Street 2:#125
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-6960
Practice Address - Country:US
Practice Address - Phone:704-562-7314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC#885101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)