Provider Demographics
NPI:1336210871
Name:PEARLMAN, RONALD CHARLES (PHD, CCC-A, DABNM)
Entity Type:Individual
Prefix:PROF
First Name:RONALD
Middle Name:CHARLES
Last Name:PEARLMAN
Suffix:
Gender:M
Credentials:PHD, CCC-A, DABNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13102 OLD FIELD TERR.
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707
Mailing Address - Country:US
Mailing Address - Phone:240-620-1305
Mailing Address - Fax:240-294-6320
Practice Address - Street 1:13102 OLD FIELD TERR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707
Practice Address - Country:US
Practice Address - Phone:240-620-1305
Practice Address - Fax:240-294-6320
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00172231H00000X
VA2201000146231H00000X
DCAUD000055282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No282N00000XHospitalsGeneral Acute Care Hospital