Provider Demographics
NPI:1881765006
Name:SHERRY A PALAMARA, PSYD, PA
Entity type:Organization
Organization Name:SHERRY A PALAMARA, PSYD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PALAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LMT
Authorized Official - Phone:305-450-1470
Mailing Address - Street 1:10305 NW 41ST ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2396
Mailing Address - Country:US
Mailing Address - Phone:305-450-1470
Mailing Address - Fax:305-271-1633
Practice Address - Street 1:407 LINCOLN RD
Practice Address - Street 2:SUITE 6L
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-3020
Practice Address - Country:US
Practice Address - Phone:305-450-1470
Practice Address - Fax:305-271-1633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6825103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU1925ZMedicare ID - Type Unspecified