| 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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