Larisa Palmer, Psy.d., P.a. | |
210 S Federal Hwy Suite 302 Hollywood FL 33020-6811 | |
(954) 925-3191 | |
Not Available |
Full Name | Larisa Palmer, Psy.d., P.a. |
---|---|
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 210 S Federal Hwy, Hollywood, Florida |
Authorized Official Name and Position | Larisa Palmer (PRESIDENT) |
Authorized Official Contact | 9549253191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Larisa Palmer, Psy.d., P.a. 210 S Federal Hwy Suite 302 Hollywood FL 33020-6811 Ph: (954) 925-3191 | Larisa Palmer, Psy.d., P.a. 210 S Federal Hwy Suite 302 Hollywood FL 33020-6811 Ph: (954) 925-3191 |
NPI Number | 1225303969 |
---|---|
Provider Enumeration Date | 03/13/2012 |
Last Update Date | 03/13/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225303969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | PY7753 (Florida) | Primary |
103TF0200X | Psychologist - Forensic | PY7753 (Florida) | Secondary |
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