Provider Demographics
NPI:1548533946
Name:PEARL, EVA MARIE (SPEECH PATHOLOGIST)
Entity type:Individual
Prefix:MRS
First Name:EVA
Middle Name:MARIE
Last Name:PEARL
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-7643
Mailing Address - Country:US
Mailing Address - Phone:469-742-8000
Mailing Address - Fax:
Practice Address - Street 1:259 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-7643
Practice Address - Country:US
Practice Address - Phone:469-742-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104384235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist