Provider Demographics
NPI:1518028927
Name:PALUMBO, MAUREEN CASSIDY (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:CASSIDY
Last Name:PALUMBO
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:
Other - Last Name:CASSIDY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LMFT
Mailing Address - Street 1:15350 MUTINY CT
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-6342
Mailing Address - Country:US
Mailing Address - Phone:361-779-3246
Mailing Address - Fax:361-949-1938
Practice Address - Street 1:5926 S STAPLES ST
Practice Address - Street 2:D-9
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-3843
Practice Address - Country:US
Practice Address - Phone:361-779-3246
Practice Address - Fax:361-949-1938
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9542101YM0800X
TX3095106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist