Provider Demographics
NPI:1487937678
Name:PALUMBO, ALEXIS MARIE (MS, CAS)
Entity type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:MARIE
Last Name:PALUMBO
Suffix:
Gender:F
Credentials:MS, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 EDGEBROOK ESTATES CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:NY
Mailing Address - Zip Code:13340-3619
Mailing Address - Country:US
Mailing Address - Phone:315-429-3155
Mailing Address - Fax:
Practice Address - Street 1:38 SLAWSON STREET
Practice Address - Street 2:DOLGEVILLE CENTRAL SCHOOL
Practice Address - City:DOLGEVILLE
Practice Address - State:NY
Practice Address - Zip Code:13329
Practice Address - Country:US
Practice Address - Phone:315-429-3155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool