Provider Demographics
NPI:1568494656
Name:PALMER, CYNTHIA R (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:R
Last Name:PALMER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3929 TINSLEY DR STE 104
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1531
Mailing Address - Country:US
Mailing Address - Phone:336-841-4307
Mailing Address - Fax:336-841-7267
Practice Address - Street 1:3929 TINSLEY DR STE 104
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1531
Practice Address - Country:US
Practice Address - Phone:336-841-4307
Practice Address - Fax:336-841-7267
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC882106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC533372-000OtherMAGELLAN BH
NC188814OtherMEDCOST
NC2138098OtherCIGNA
NC6105085Medicaid
NC133RTOtherBLUE CROSS/BLUE SHIELD