Provider Demographics
NPI:1508933698
Name:PFUHL, PEARL ELIZABETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:PEARL
Middle Name:ELIZABETH
Last Name:PFUHL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:16530 ABBEY DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-4333
Mailing Address - Country:US
Mailing Address - Phone:301-464-8016
Mailing Address - Fax:301-362-2976
Practice Address - Street 1:9811 MALLARD DR
Practice Address - Street 2:SUITE 219
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-3143
Practice Address - Country:US
Practice Address - Phone:301-497-9930
Practice Address - Fax:301-362-2976
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1367101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional