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JOELLE PALMER
Clinical Child & Adolescent >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1730241407
Individual Registrant: JOELLE PALMER
Gender: F
Not Sole Proprietor
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
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
Tel: 802-527-5360 Fax: 802-658-0216
Registration Information:
NPI: 1730241407
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC2200X | Behavioral Health & Social Service Providers Psychologist Clinical Child & Adolescent | VT | 047-0000768 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| OVN2358 | VT | 05 | |
| BC BS PROVIDER NUMBER | 00049612 | VT | 01 |
| CIGNA PROVIDER NUMBER | 2051017 | VT | 01 |
