Organization
MARK PALMISANO, PHD P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PALMISANO PHD (PROVIDER)
(301) 788-2989
Entity
Organization
Contact information
Practice address
801 TOLL HOUSE AVE, UNIT A-3, FREDERICK, MD 21701-4564
(301) 788-2989
(301) 663-1412
Mailing address
801 TOLL HOUSE AVE, UNIT A-3, FREDERICK, MD 21701-4564
(301) 788-2989
(301) 663-1412
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03154
MD
Other
Enumeration date
04/03/2007
Last updated
09/24/2009
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