Individual
JOELLE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 AIRPORT RD, S BURLINGTON, VT 05403-6432
(802) 658-3924
(802) 658-0216
Mailing address
PO BOX 2137, 73 RIVERVIEW CT., MILTON, VT 05468-2137
(802) 527-5360
(802) 658-0216
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
047-0000768
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00049612
BC BS PROVIDER NUMBER
VT
01
—
2051017
CIGNA PROVIDER NUMBER
VT
05
—
OVN2358
—
VT
Enumeration date
12/15/2006
Last updated
07/08/2007
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