Provider Demographics
NPI:1710260617
Name:PEARCE, LAURA SUZANNE (MSW)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:SUZANNE
Last Name:PEARCE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 E 6TH ST APT 11
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-1432
Mailing Address - Country:US
Mailing Address - Phone:360-480-8761
Mailing Address - Fax:
Practice Address - Street 1:514 W PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-5237
Practice Address - Country:US
Practice Address - Phone:562-432-0713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health