Provider Demographics
NPI:1801987888
Name:PALUMBO, RICHARD V (PHD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:V
Last Name:PALUMBO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02724-2921
Mailing Address - Country:US
Mailing Address - Phone:508-679-1968
Mailing Address - Fax:508-679-1969
Practice Address - Street 1:829 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02724-2921
Practice Address - Country:US
Practice Address - Phone:508-679-1968
Practice Address - Fax:508-679-1969
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3290103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist