Individual
ANNE SHARON PALMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,MS,LPCC, SLP-CCC
Contact information
Practice address
4216 BALLOON PARK RD NE, ALBUQUERQUE, NM 87109-5801
(505) 344-5470
(505) 344-9343
Mailing address
3 CEBOLLA LOOP, JEMEZ SPRINGS, NM 87025-9241
(505) 249-5046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0814
NM
235Z00000X
Speech-Language Pathologist
245371
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00321752
SLP-CCC, ASHA
NM
01
—
0814
LPCC
NM
05
—
94139512
—
NM
Enumeration date
05/02/2007
Last updated
08/14/2012
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