Provider Demographics
NPI:1699439208
Name:PALUMBO, ISABELLA MARIA (PHD)
Entity type:Individual
Prefix:MRS
First Name:ISABELLA
Middle Name:MARIA
Last Name:PALUMBO
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 1:201 CHARTER HALL RD
Mailing Address - Street 2:
Mailing Address - City:PERRYVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21903-2856
Mailing Address - Country:US
Mailing Address - Phone:239-580-8963
Mailing Address - Fax:
Practice Address - Street 1:25 OMEGA DR BLDG J
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-6020
Practice Address - Country:US
Practice Address - Phone:239-580-8963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-29
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPS-P000305103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty