# LARISA PALMER, PSY.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225303969
- **Authorized official:** LARISA PALMER PSY.D. (PRESIDENT)
- **Authorized official phone:** (954) 925-3191

## Contact information

- **Practice address:** 210 S FEDERAL HWY, SUITE 302, HOLLYWOOD, FL 33020-6811
- **Practice address phone:** (954) 925-3191
- **Mailing address:** 210 S FEDERAL HWY, SUITE 302, HOLLYWOOD, FL 33020-6811
- **Mailing address phone:** (954) 925-3191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PY7753 | FL | Yes |
| 103TF0200X | Forensic Psychologist | PY7753 | FL | — |

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 03/13/2012