Provider Demographics
NPI:1770758229
Name:PEARSON, CYNTHIA MOSS (LCSW)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:MOSS
Last Name:PEARSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 1ST AVE N
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-1821
Mailing Address - Country:US
Mailing Address - Phone:205-314-3433
Mailing Address - Fax:205-314-3432
Practice Address - Street 1:1500 1ST AVE N
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-1821
Practice Address - Country:US
Practice Address - Phone:205-314-3433
Practice Address - Fax:205-314-3432
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0699-1719C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical