Healthcare Provider Details

I. General information

NPI: 1922582212
Provider Name (Legal Business Name): STEPHANIE PALMERI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 WHITE HORSE PIKE
HADDON HEIGHTS NJ
08035-1703
US

IV. Provider business mailing address

613 CEDAR AVE
COLLINGSWOOD NJ
08108-1615
US

V. Phone/Fax

Practice location:
  • Phone: 856-617-4544
  • Fax:
Mailing address:
  • Phone: 856-209-3374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00840800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0000906
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC010643
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: