Provider Demographics
NPI:1023328507
Name:PEARCH, ELIZABETH JEANNE (BA, ACMT, LMT, DOULA)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JEANNE
Last Name:PEARCH
Suffix:
Gender:F
Credentials:BA, ACMT, LMT, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W 58TH AVE
Mailing Address - Street 2:UNIT A
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-1632
Mailing Address - Country:US
Mailing Address - Phone:907-312-9578
Mailing Address - Fax:888-316-4387
Practice Address - Street 1:700 W 58TH AVE
Practice Address - Street 2:UNIT A
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-1632
Practice Address - Country:US
Practice Address - Phone:907-312-9578
Practice Address - Fax:888-316-4387
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No374J00000XNursing Service Related ProvidersDoula