Individual
AMY PALMER
Active
Individual
AMY PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
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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