Provider Demographics
NPI:1144390352
Name:PEARNE, DENNIS (EDD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:
Last Name:PEARNE
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 GLEASON ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-3504
Mailing Address - Country:US
Mailing Address - Phone:508-877-3200
Mailing Address - Fax:508-877-3220
Practice Address - Street 1:49 GLEASON ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-3504
Practice Address - Country:US
Practice Address - Phone:508-877-3200
Practice Address - Fax:508-877-3220
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2009103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical