Provider Demographics
NPI:1417439506
Name:PALMER, KAMERON HOOD (SLP)
Entity Type:Individual
Prefix:MRS
First Name:KAMERON
Middle Name:HOOD
Last Name:PALMER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MISS
Other - First Name:KAMERON
Other - Middle Name:
Other - Last Name:HOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:11140 N HARRELLS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-8307
Mailing Address - Country:US
Mailing Address - Phone:225-272-0150
Mailing Address - Fax:225-275-0930
Practice Address - Street 1:11140 N HARRELLS FERRY RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-8307
Practice Address - Country:US
Practice Address - Phone:225-272-0150
Practice Address - Fax:225-275-0930
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8181235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist