Provider Demographics
NPI:1639955982
Name:WILLIAM PEARSON
Entity Type:Organization
Organization Name:WILLIAM PEARSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:310-625-1192
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty