Healthcare Provider Details

I. General information

NPI: 1588392401
Provider Name (Legal Business Name): ABIGAIL E PALMER MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2022
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2321 LINCOLN RD NE APT 8
WASHINGTON DC
20002-1127
US

IV. Provider business mailing address

2321 LINCOLN RD NE APT 8
WASHINGTON DC
20002-1127
US

V. Phone/Fax

Practice location:
  • Phone: 240-687-1427
  • Fax:
Mailing address:
  • Phone: 240-687-1427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number09823
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: