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Individual

DR. LARISA M. PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
210 S FEDERAL HWY STE 302, HOLLYWOOD, FL 33020-6811
(954) 925-3191
(954) 925-3193
Mailing address
210 S FEDERAL HWY STE 302, HOLLYWOOD, FL 33020-6811
(954) 925-3191
(954) 925-3193

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7753
FL

Other

Enumeration date
02/19/2012
Last updated
02/19/2012
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