Provider Demographics
NPI:1649293416
Name:PALERMO, LINDA (LMFT, PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:PALERMO
Suffix:
Gender:F
Credentials:LMFT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24193 HAMMERHEAD DR
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-7277
Mailing Address - Country:US
Mailing Address - Phone:203-353-9229
Mailing Address - Fax:
Practice Address - Street 1:36 FORBELL DR FL 1
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-1418
Practice Address - Country:US
Practice Address - Phone:203-353-9229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000607106H00000X
DEFT-0010107106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT10OtherPSYCHOTHERAPY