Provider Demographics
NPI:1760789655
Name:PEARSON, DAVID CURTIS (MSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CURTIS
Last Name:PEARSON
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 S 280 E
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-5534
Mailing Address - Country:US
Mailing Address - Phone:801-400-8788
Mailing Address - Fax:
Practice Address - Street 1:137 S 280 E
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-5534
Practice Address - Country:US
Practice Address - Phone:801-400-8788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7752447-35061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical