Provider Demographics
NPI:1891109393
Name:DEPALMA, BRIANNE
Entity Type:Individual
Prefix:MISS
First Name:BRIANNE
Middle Name:
Last Name:DEPALMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24721 VIA SAN FERNANDO
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-2431
Mailing Address - Country:US
Mailing Address - Phone:949-306-8971
Mailing Address - Fax:
Practice Address - Street 1:24721 VIA SAN FERNANDO
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-2431
Practice Address - Country:US
Practice Address - Phone:949-306-8971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker