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JOELLE PALMER

Clinical Child & Adolescent >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1730241407

Individual Registrant:
 JOELLE  PALMER 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
30 AIRPORT RD  S BURLINGTON, VT 05403-6432 US
Tel: 802-658-3924  Fax: 802-658-0216

Contact information for business:
PO BOX 2137 73 RIVERVIEW CT. MILTON, VT 05468-2137 US
Tel: 802-527-5360  Fax: 802-658-0216

Registration Information:
NPI: 1730241407
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC2200XBehavioral Health & Social Service Providers
Psychologist
Clinical Child & Adolescent
VT047-0000768

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
OVN2358VT05
BC BS PROVIDER NUMBER00049612VT01
CIGNA PROVIDER NUMBER2051017VT01




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