| Doctor Name: | R DANIEL PALMER |
| NPI Number: | 1578807020 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH,D, |
| License Number: | PS004711L |
| Business Practice Address: | 518 Mulberry St Hollidaysburg, PA - 166481837 |
| Business Phone Number: | 8146969494 |
| Business Fax Number: | |
| Mailing Address: | 518 Mulberry St, P.o. Box 465 HOLLIDAYSBURG |
| State: | PA |
| Postal Code: | 166481837 |
| Phone Number: | 8146969494 |
| Fax Number: | |
| NPI Enumeration Date: | 11/23/2012 |
| NPI Last Update Date: | 11/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS004711L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |