Healthcare Provider Details

I. General information

NPI: 1992632582
Provider Name (Legal Business Name): VERONICA PALMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6245 CRAIN HWY
UPPER MARLBORO MD
20772-4119
US

IV. Provider business mailing address

3102 FLORAL PARK RD
CLINTON MD
20735-9665
US

V. Phone/Fax

Practice location:
  • Phone: 301-292-2778
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: