Doctor Name: | MS. TRACY LYNN PALMER |
NPI Number: | 1952551210 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC-12995 |
Business Practice Address: | 20061 S Rittenhouse Rd Queen Creek, AZ - 852429715 |
Business Phone Number: | 4809879700 |
Business Fax Number: | 4809879701 |
Mailing Address: | 20061 S Rittenhouse Rd, QUEEN CREEK |
State: | AZ |
Postal Code: | 852429715 |
Phone Number: | 4809879700 |
Fax Number: | 4809879701 |
NPI Enumeration Date: | 09/23/2008 |
NPI Last Update Date: | 09/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | LPC-12995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |