Individual
DR. DEBRA ANN PALOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
3501 CHAMPION LAKE BLVD APT 416, SHREVEPORT, LA 71105-3775
(318) 865-9298
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013986-1
NY
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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