Basic Information
| Provider Information | |||||||||
| NPI: | 1487685327 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PALMIERI | ||||||||
| FirstName: | MADELYN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MA,,LLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1308 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | PLYMOUTH | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481702253 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7344513440 | ||||||||
| FaxNumber: | 7344518720 | ||||||||
| Practice Location | |||||||||
| Address1: | 1197 WEST BLVD | ||||||||
| Address2: | |||||||||
| City: | BERKLEY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480722018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5863543984 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 6301008621 | MI | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.