Provider Demographics
NPI:1821169046
Name:PALAMARA, SHERRY ANN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:ANN
Last Name:PALAMARA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6804 SW 114TH PL
Mailing Address - Street 2:UNIT G
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1807
Mailing Address - Country:US
Mailing Address - Phone:305-450-1470
Mailing Address - Fax:305-271-1633
Practice Address - Street 1:7301 W PALMETTO PARK RD
Practice Address - Street 2:SUITE 204A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3458
Practice Address - Country:US
Practice Address - Phone:561-368-9940
Practice Address - Fax:561-368-3255
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6825103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU1925ZMedicare ID - Type UnspecifiedMEDICARE FLORIDA