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Individual

AMY PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
2488 BOSTON POST RD, SUITE 23A, GUILFORD, CT 06437-1368
(203) 533-5858
Mailing address
2488 BOSTON POST RD, SUITE 23A, GUILFORD, CT 06437-1368
(203) 533-5858

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
002416
CT
103T00000X
Psychologist
002416
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004224325
CT
01
060002416CT01
ANTHEM BLUE CROSS AND BLU
CT
Enumeration date
04/27/2006
Last updated
08/05/2014
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