| Doctor Name: | ELIZABETH RYAN PALMER |
| NPI Number: | 1053328799 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | SW7064 |
| Business Practice Address: | 91 Broad St Suite B Winter Garden, FL - 347873952 |
| Business Phone Number: | 4076211611 |
| Business Fax Number: | |
| Mailing Address: | 2180 N Park Ave, Ste 326 WINTER PARK |
| State: | FL |
| Postal Code: | 327892358 |
| Phone Number: | 4076443593 |
| Fax Number: | 4076441713 |
| NPI Enumeration Date: | 08/02/2006 |
| NPI Last Update Date: | 02/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW7064 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |