Provider Demographics
NPI:1376307520
Name:PALUMBO, DENNIS JOSEPH (MA, MFT)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:JOSEPH
Last Name:PALUMBO
Suffix:
Gender:M
Credentials:MA, MFT
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Other - First Name:
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Mailing Address - Street 1:15300 VENTURA BLVD.
Mailing Address - Street 2:SUITE 402
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403
Mailing Address - Country:US
Mailing Address - Phone:818-386-2070
Mailing Address - Fax:818-386-2070
Practice Address - Street 1:15300 VENTURA BLVD.
Practice Address - Street 2:SUITE 402
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403
Practice Address - Country:US
Practice Address - Phone:818-386-2070
Practice Address - Fax:818-386-2070
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAMFC28640103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy