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NPI Code Detail

MEDICARE: DR. STEVEN MICHAEL PALMA PSYD

MEDICARE: DR. STEVEN MICHAEL PALMA PSYD
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
1103TC0700XClinical PsychologistPS018430PA
2103TC0700XClinical Psychologist05958MD

General Provider Information

NPI Number : 1508354192
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN MICHAEL PALMA PSYD
Provider Business Mailing Address
First Line : 2524 RELLIM RD APT D
Second Line :
City : BALTIMORE
State : MD
Zip : 21209-4125
Country : US
Telephone Number : 847-921-0773
Fax Number :
Provider Business Practice Location Address
First Line : 7067 COLUMBIA GATEWAY DR STE 180
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-3408
Country : US
Telephone Number : 410-929-7225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2018
Last Update Date : 04/29/2018

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