Provider Demographics
NPI:1538449749
Name:PALLANDRE, CLAIRE (MAC, LAC)
Entity type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:
Last Name:PALLANDRE
Suffix:
Gender:F
Credentials:MAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4518 SCHENLEY RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-2568
Mailing Address - Country:US
Mailing Address - Phone:443-722-9658
Mailing Address - Fax:
Practice Address - Street 1:4518 SCHENLEY RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-2568
Practice Address - Country:US
Practice Address - Phone:443-722-9658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01915171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist