Provider Demographics
NPI:1164745758
Name:SINGER PEARLMAN, DIANE GAIL
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:GAIL
Last Name:SINGER PEARLMAN
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 1:47 PARKER ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-4917
Mailing Address - Country:US
Mailing Address - Phone:781-652-8320
Mailing Address - Fax:
Practice Address - Street 1:47 PARKER ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-4917
Practice Address - Country:US
Practice Address - Phone:781-652-8320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1022032102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst