Healthcare Provider Details

I. General information

NPI: 1861255861
Provider Name (Legal Business Name): EMILY PALMER-RICE PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 14TH ST APT 2801
OAKLAND CA
94612-3875
US

IV. Provider business mailing address

385 14TH ST APT 2801
OAKLAND CA
94612-3875
US

V. Phone/Fax

Practice location:
  • Phone: 415-494-9298
  • Fax:
Mailing address:
  • Phone: 415-494-9298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY34788
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPSY34788
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY34788
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: