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NPI Code Detail

MEDICARE: MRS. JOANNE MARIE PALMER LPC, CAC

MEDICARE: MRS. JOANNE MARIE PALMER LPC, CAC
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
1101YP2500XProfessional CounselorPC000423PA

General Provider Information

NPI Number : 1396024758
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOANNE MARIE PALMER LPC, CAC
Provider Business Mailing Address
First Line : 6701 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19126-2837
Country : US
Telephone Number : 215-276-3922
Fax Number : 215-276-8199
Provider Business Practice Location Address
First Line : 6701 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19126-2837
Country : US
Telephone Number : 215-276-3922
Fax Number : 215-276-8199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2011
Last Update Date : 08/16/2011

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