| Mark Palmisano, Phd P A | |
|
801 Toll House Ave Unit A-3 Frederick MD 21701-4564 | |
| (301) 788-2989 | |
| (301) 663-1412 |
| Full Name | Mark Palmisano, Phd P A |
|---|---|
| Speciality | Psychologist |
| Location | 801 Toll House Ave, Frederick, Maryland |
| Authorized Official Name and Position | Mark Palmisano (PROVIDER) |
| Authorized Official Contact | 3017882989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Palmisano, Phd P A 801 Toll House Ave Unit A-3 Frederick MD 21701-4564 Ph: (301) 788-2989 | Mark Palmisano, Phd P A 801 Toll House Ave Unit A-3 Frederick MD 21701-4564 Ph: (301) 788-2989 |
| NPI Number | 1366563322 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 09/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366563322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 03154 (Maryland) | Primary |
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