Provider Demographics
NPI:1447599733
Name:PEARCH, JOSLIN GRACE (SP, LPA)
Entity Type:Individual
Prefix:
First Name:JOSLIN
Middle Name:GRACE
Last Name:PEARCH
Suffix:
Gender:F
Credentials:SP, LPA
Other - Prefix:
Other - First Name:JOSLIN
Other - Middle Name:GRACE
Other - Last Name:CURRIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SCHOOL PSYCHOLOGIST
Mailing Address - Street 1:183 WATER SKI DR
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-8731
Mailing Address - Country:US
Mailing Address - Phone:843-680-3026
Mailing Address - Fax:
Practice Address - Street 1:183 WATER SKI DR
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-8731
Practice Address - Country:US
Practice Address - Phone:843-680-3026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC241190103TS0200X
NC1221900103TS0200X
NCPA6222103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool