| Doctor Name: | DR. LARRY FLETCHER PALMER |
| NPI Number: | 1194768440 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | PE11364 |
| Business Practice Address: | 402 Center Avenue Dickson, TN - 37055 |
| Business Phone Number: | 6154462134 |
| Business Fax Number: | 6154462866 |
| Mailing Address: | 402 Center Avenue, DICKSON |
| State: | TN |
| Postal Code: | 37055 |
| Phone Number: | 6154462134 |
| Fax Number: | 6154462866 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 05/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PE11364 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |