Provider Demographics
NPI:1851487441
Name:PALERMO, PERRI K (MA,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PERRI
Middle Name:K
Last Name:PALERMO
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20281
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225-0281
Mailing Address - Country:US
Mailing Address - Phone:713-927-2261
Mailing Address - Fax:713-524-8018
Practice Address - Street 1:6750 WEST LOOP S
Practice Address - Street 2:SUITE 235
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4103
Practice Address - Country:US
Practice Address - Phone:713-927-2261
Practice Address - Fax:713-524-8018
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153341601Medicaid