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Contact Information

ANTONIO PEARCE, MS
12968 FREDERICK STREET
SUITE D
MORENO VALLEY, CA92553
 Phone: 951-242-7738
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANTONIO PEARCE · (Male)

NPI Number 1275194227
Status Active
Credentials MS
Entity Individual
Enumeration date 06/20/2019
Last updated 10/30/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSB94024757
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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