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NPI Code Detail

MEDICARE: PANIKA PALMER SLP

MEDICARE:   PANIKA  PALMER  SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP.0005198CO
2174N00000XLactation Consultant (Non-RN)

General Provider Information

NPI Number : 1528431954
Entity Type Code : Individual
Provider Name (Legal Business Name) : PANIKA PALMER SLP
Provider Business Mailing Address
First Line : 736 W OTTLEY AVE
Second Line :
City : FRUITA
State : CO
Zip : 81521-2197
Country : US
Telephone Number : 970-639-0760
Fax Number :
Provider Business Practice Location Address
First Line : 600 ROOD AVE STE 201
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-2761
Country : US
Telephone Number : 970-639-0760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2015
Last Update Date : 05/31/2026

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Directions to “ PANIKA PALMER SLP” Practice Location

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