Provider Demographics
NPI:1760526792
Name:PEARLMAN, BARBARA G (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:G
Last Name:PEARLMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:S
Other - Last Name:GLINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 532
Mailing Address - Street 2:
Mailing Address - City:GARRETT PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20896-0532
Mailing Address - Country:US
Mailing Address - Phone:301-942-1995
Mailing Address - Fax:301-942-8334
Practice Address - Street 1:6262 MONTROSE RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4119
Practice Address - Country:US
Practice Address - Phone:301-942-1995
Practice Address - Fax:301-942-8334
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2152103TC0700X, 103TC2200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT9960001OtherCAREFIRST
MD2558974OtherAETNA
MDIP48347OtherMAGELLAN