Individual
BROOKE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 625-4933
Mailing address
420 DELAWARE ST SE, MMC 741, MINNEAPOLIS, MN 55455
(612) 625-4933
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP6585
MN
103TH0100X
Health Service Psychologist
Primary
LP6585
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2018
Last updated
09/14/2021
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