| Laura K Palm Lcsw | |
|
1 Bethany Rd Ste 69 Hazlet NJ 07730-1668 | |
| (732) 344-0736 | |
| Not Available |
| Full Name | Laura K Palm Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 1 Bethany Rd Ste 69, Hazlet, New Jersey |
| Authorized Official Name and Position | Laura K Palm (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7323440736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura K Palm Lcsw 5 Pheasant Run Holmdel NJ 07733-1317 Ph: (732) 996-3948 | Laura K Palm Lcsw 1 Bethany Rd Ste 69 Hazlet NJ 07730-1668 Ph: (732) 344-0736 |
| NPI Number | 1477193563 |
|---|---|
| Provider Enumeration Date | 01/07/2020 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Medicare PECOS PAC ID | 9032549159 |
|---|---|
| Medicare Enrollment ID | O20200413003624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477193563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laura K Palm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982752663 PECOS PAC ID: 4284635905 Enrollment ID: I20070124000194 |
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