Healthcare Provider Details

I. General information

NPI: 1538105341
Provider Name (Legal Business Name): THOMAS P. PALLMEYER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 04/11/2022
Certification Date: 04/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2741 LITITZ PIKE
LANCASTER PA
17601
US

IV. Provider business mailing address

2741 LITITZ PIKE
LANCASTER PA
17601
US

V. Phone/Fax

Practice location:
  • Phone: 717-569-8511
  • Fax: 717-569-8513
Mailing address:
  • Phone: 717-569-8511
  • Fax: 717-569-8513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS005853L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS005853L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: