Provider Demographics
NPI:1972913408
Name:PALERMO, LORELEI VIERA (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LORELEI
Middle Name:VIERA
Last Name:PALERMO
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 WEXFORD DR N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-6229
Mailing Address - Country:US
Mailing Address - Phone:727-787-9053
Mailing Address - Fax:
Practice Address - Street 1:1518 WEXFORD DR N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-6229
Practice Address - Country:US
Practice Address - Phone:727-787-9053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA1724235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist