Individual
RONALD IRWIN PALMER
Active
Individual
RONALD IRWIN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005854L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003763
VALUE OPTIONS
PA
01
—
201297000
MAGELLAN
PA
01
—
209105
UPMC
PA
01
—
263728
BLUE SHIELD
PA
01
—
716744
BLUE SHIELD
PA
Enumeration date
07/12/2006
Last updated
10/03/2023
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