Provider Demographics
NPI:1245485481
Name:PALCAN, ROMA LINA (PHD)
Entity type:Individual
Prefix:DR
First Name:ROMA
Middle Name:LINA
Last Name:PALCAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ROMA
Other - Middle Name:LINA
Other - Last Name:SCHIEFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13000 PARK BLVD.
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33776
Mailing Address - Country:US
Mailing Address - Phone:727-397-4313
Mailing Address - Fax:
Practice Address - Street 1:13000 PARK BLVD
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33776-3639
Practice Address - Country:US
Practice Address - Phone:727-397-4313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0005464103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling