Provider Demographics
NPI:1023400397
Name:PALMA, ALLA (PSYD)
Entity Type:Individual
Prefix:
First Name:ALLA
Middle Name:
Last Name:PALMA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ALLA
Other - Middle Name:
Other - Last Name:KRYSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:35 VILLAGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-1238
Mailing Address - Country:US
Mailing Address - Phone:978-222-3131
Mailing Address - Fax:978-428-2650
Practice Address - Street 1:35 VILLAGE RD STE 100
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949-1238
Practice Address - Country:US
Practice Address - Phone:978-222-3131
Practice Address - Fax:978-428-2650
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-24
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
MA10550103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologist