Provider Demographics
NPI:1205496924
Name:PALMIERI, LORI ANNE
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:ANNE
Last Name:PALMIERI
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 1:228 GLYNDON WATCH LN
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-6468
Mailing Address - Country:US
Mailing Address - Phone:443-421-7679
Mailing Address - Fax:
Practice Address - Street 1:1530 PRESSTMAN ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-2312
Practice Address - Country:US
Practice Address - Phone:410-728-2091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-14
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02283235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist