MEDICARE: TIFFANY MARIE PALMIERI LPCA

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	101Y00000X	Counselor	A9673	NC

General Provider Information

NPI Number	:	1750629903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY MARIE PALMIERI LPCA

Provider Business Mailing Address
First Line	:	1412 ADAMS FARM PKWY
Second Line	:	APT S
City	:	GREENSBORO
State	:	NC
Zip	:	27407-5132
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1412 ADAMS FARM PKWY
Second Line	:	APT S
City	:	GREENSBORO
State	:	NC
Zip	:	27407-5132
Country	:	US
Telephone Number	:	614-586-6009
Fax Number	:

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

Provider Enumeration Date	:	01/23/2013
Last Update Date	:	01/23/2013

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