Provider Demographics
NPI:1437478518
Name:PALMER, BEDFORD E F II (PHD)
Entity Type:Individual
Prefix:DR
First Name:BEDFORD
Middle Name:E F
Last Name:PALMER
Suffix:II
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1928 ST. MARY'S RD, PMB 4350
Mailing Address - Street 2:SAINT MARY'S COLLEGE OF CALIFORNIA
Mailing Address - City:MORAGA
Mailing Address - State:CA
Mailing Address - Zip Code:94575
Mailing Address - Country:US
Mailing Address - Phone:510-761-8282
Mailing Address - Fax:
Practice Address - Street 1:329 A 14TH STREET
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612
Practice Address - Country:US
Practice Address - Phone:510-761-8282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-27
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28058103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist