MEDICARE: SEAN PATRICK PALMER AMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	161917	CA

General Provider Information

NPI Number	:	1275471195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN PATRICK PALMER AMFT

Provider Business Mailing Address
First Line	:	600 SPRING RD APT 128
Second Line	:
City	:	MOORPARK
State	:	CA
Zip	:	93021-1254
Country	:	US
Telephone Number	:	310-406-7646
Fax Number	:

Provider Business Practice Location Address
First Line	:	32107 LINDERO CANYON RD STE 202
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-4209
Country	:	US
Telephone Number	:	818-964-1806
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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