Provider Demographics
NPI:1821854738
Name:PEARSON, CLARINDA (MS, PPS CREDENTIAL)
Entity Type:Individual
Prefix:
First Name:CLARINDA
Middle Name:
Last Name:PEARSON
Suffix:
Gender:F
Credentials:MS, PPS CREDENTIAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 DOUGLASS ST
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-2506
Mailing Address - Country:US
Mailing Address - Phone:530-529-8920
Mailing Address - Fax:
Practice Address - Street 1:1525 DOUGLASS ST
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-2506
Practice Address - Country:US
Practice Address - Phone:530-529-8920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA210218083103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool