Healthcare Provider Details

I. General information

NPI: 1306765441
Provider Name (Legal Business Name): SARAH PALMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

634 E LOST PINE WAY RD
GALLOWAY NJ
08205-9694
US

IV. Provider business mailing address

5518 SUFFOLK CT
VENTNOR CITY NJ
08406-1421
US

V. Phone/Fax

Practice location:
  • Phone: 609-705-3855
  • Fax:
Mailing address:
  • Phone: 609-705-3855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: