Provider Demographics
NPI:1689790370
Name:PEARSON, D. SUE (LPC)
Entity Type:Individual
Prefix:
First Name:D.
Middle Name:SUE
Last Name:PEARSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-1232
Mailing Address - Country:US
Mailing Address - Phone:205-567-9873
Mailing Address - Fax:205-682-9921
Practice Address - Street 1:2 RIVERCHASE OFFICE PLZ
Practice Address - Street 2:SUITE 122
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2890
Practice Address - Country:US
Practice Address - Phone:205-682-9919
Practice Address - Fax:205-682-9921
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1684101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health