Doctor Name: | PHYLLIS PALMER |
NPI Number: | 1710268651 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 668 N Orlando Ave Ste 210 Maitland, FL - 327514459 |
Business Phone Number: | 4072150095 |
Business Fax Number: | |
Mailing Address: | 3615 Valleyview Dr, KISSIMMEE |
State: | FL |
Postal Code: | 347462896 |
Phone Number: | 6602290449 |
Fax Number: | 4072610523 |
NPI Enumeration Date: | 09/06/2011 |
NPI Last Update Date: | 09/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |