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NPI Code Detail

MEDICARE: DR. KATHERINE PALKO PSY.D., LMHC

MEDICARE: DR. KATHERINE PALKO PSY.D., LMHC
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
1101YM0800XMental Health CounselorLMHC 8233FL
2103TC0700XClinical Psychologist3758CT

General Provider Information

NPI Number : 1932358058
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE PALKO PSY.D., LMHC
Provider Business Mailing Address
First Line : 5753 MIAMI LAKES DR E
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-2417
Country : US
Telephone Number : 305-403-0006
Fax Number : 305-403-4119
Provider Business Practice Location Address
First Line : 55 HATCHETTS HILL RD
Second Line :
City : OLD LYME
State : CT
Zip : 06371-1534
Country : US
Telephone Number : 800-370-3651
Fax Number : 877-515-7147
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2008
Last Update Date : 07/23/2018

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