Provider Demographics
NPI:1568628097
Name:PEARSON, WILLIAM L (MA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:L
Last Name:PEARSON
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26077 SCHAFER DR
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-7300
Mailing Address - Country:US
Mailing Address - Phone:310-625-1192
Mailing Address - Fax:310-315-4951
Practice Address - Street 1:26077 SCHAFER DR
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-7300
Practice Address - Country:US
Practice Address - Phone:310-625-1192
Practice Address - Fax:310-315-4951
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 31135106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist