Provider Demographics
NPI:1336360023
Name:PALMENTERA, CARMELA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:CARMELA
Middle Name:M
Last Name:PALMENTERA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 353
Mailing Address - Street 2:
Mailing Address - City:HINCKLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44233
Mailing Address - Country:US
Mailing Address - Phone:440-230-2564
Mailing Address - Fax:330-278-2061
Practice Address - Street 1:6785 WALLINGS RD.
Practice Address - Street 2:SUITE 3-B
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133
Practice Address - Country:US
Practice Address - Phone:440-230-2564
Practice Address - Fax:330-278-2061
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical