Doctor Name: | MR. JOHN MALCOLM PALMER |
NPI Number: | 1053572487 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 73-075026 |
Business Practice Address: | 64 Jefferson Street Suite 1 Monticello, NY - 12701 |
Business Phone Number: | 8457918800 |
Business Fax Number: | 8457917051 |
Mailing Address: | 64 Jefferson Street, Suite 1 MONTICELLO |
State: | NY |
Postal Code: | 12701 |
Phone Number: | 8457918800 |
Fax Number: | 8457917051 |
NPI Enumeration Date: | 06/18/2008 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 73-075026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |