| Doctor Name: | ROBERTA CHERYL PRITCHARD-PALMER |
| NPI Number: | 1518130707 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN,BC |
| License Number: | 209007072 |
| Business Practice Address: | 100 N 8th St East Saint Louis, IL - 622012989 |
| Business Phone Number: | 6182717691 |
| Business Fax Number: | 6182717573 |
| Mailing Address: | 100 N 8th St, EAST SAINT LOUIS |
| State: | IL |
| Postal Code: | 622012989 |
| Phone Number: | 6182717691 |
| Fax Number: | 6182717573 |
| NPI Enumeration Date: | 04/08/2008 |
| NPI Last Update Date: | 11/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0810X |
| License Number: | 209007072 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Child & Family |
| Taxonomy Definition: | |