Doctor Name: | DEBRA L PALMER |
NPI Number: | 1669749743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 043666 |
Business Practice Address: | 54 Mill St Sodus, NY - 14513 |
Business Phone Number: | 3154835282 |
Business Fax Number: | |
Mailing Address: | Po Box 220, SODUS |
State: | NY |
Postal Code: | 145510220 |
Phone Number: | 3154835282 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2011 |
NPI Last Update Date: | 11/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 043666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |