Provider Demographics
NPI:1245387976
Name:PEARMAN, DOROTHEA (LMFT)
Entity Type:Individual
Prefix:
First Name:DOROTHEA
Middle Name:
Last Name:PEARMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 AUSTIN BLUFFS PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-7869
Mailing Address - Country:US
Mailing Address - Phone:719-440-0727
Mailing Address - Fax:
Practice Address - Street 1:1855 AUSTIN BLUFFS PKWY STE C
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-7869
Practice Address - Country:US
Practice Address - Phone:719-440-0727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO551106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist