Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | WA1302 | WA |
NPI | 1063683639 |
---|---|
Provider Name | Dr. Deanette Lynne Palmer |
First Address | Spokane, WA 99204 |
Second Address | Spokane, WA 99204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2008 |
Last Update Date | 11/04/2008 |