Healthcare Provider Details

I. General information

NPI: 1326628348
Provider Name (Legal Business Name): MRS. SHARON PALMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 04/13/2021
Certification Date: 04/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 LOUISE RD
NEW CASTLE DE
19720-1722
US

IV. Provider business mailing address

134 LOUISE RD
NEW CASTLE DE
19720-1722
US

V. Phone/Fax

Practice location:
  • Phone: 267-928-0126
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: