Provider Demographics
NPI:1063683639
Name:PALMER, DEANETTE LYNNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEANETTE
Middle Name:LYNNE
Last Name:PALMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 W 7TH AVENUE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204
Mailing Address - Country:US
Mailing Address - Phone:509-838-8022
Mailing Address - Fax:509-744-0912
Practice Address - Street 1:703 W 7TH AVENUE
Practice Address - Street 2:SUITE 230
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204
Practice Address - Country:US
Practice Address - Phone:509-838-8022
Practice Address - Fax:509-744-0912
Is Sole Proprietor?:No
Enumeration Date:2008-03-21
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWA1302103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling