MEDICARE: DR. JANE HIGHAM PALLESCHI PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist
2	103T00000X	Psychologist	019483	NY

General Provider Information

NPI Number	:	1164796652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE HIGHAM PALLESCHI PH.D.

Provider Business Mailing Address
First Line	:	620 ERIE BLVD W
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13204-2445
Country	:	US
Telephone Number	:	315-425-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 ERIE BLVD W
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13204-2445
Country	:	US
Telephone Number	:	315-425-4400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/29/2012
Last Update Date	:	01/14/2026

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