Provider Demographics
NPI:1417337148
Name:PALLADINO, ANGELA (MS)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:PALLADINO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:D
Other - Last Name:CREAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2038 CARMEL RD
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-9754
Mailing Address - Country:US
Mailing Address - Phone:856-825-6810
Mailing Address - Fax:856-765-0931
Practice Address - Street 1:2038 CARMEL RD
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-9754
Practice Address - Country:US
Practice Address - Phone:856-825-6810
Practice Address - Fax:856-765-0931
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health