Provider Demographics
NPI:1407216963
Name:OJIERE, PEARL
Entity Type:Individual
Prefix:
First Name:PEARL
Middle Name:
Last Name:OJIERE
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 1:7912 MARFIELD PL
Mailing Address - Street 2:APT. #K
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-3627
Mailing Address - Country:US
Mailing Address - Phone:410-440-4789
Mailing Address - Fax:
Practice Address - Street 1:7912 MARFIELD PL
Practice Address - Street 2:APT. #K
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-3627
Practice Address - Country:US
Practice Address - Phone:410-440-4789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2178101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health