Provider Demographics
NPI:1598090789
Name:PALMER, LOUISE MARIE (MA)
Entity Type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:MARIE
Last Name:PALMER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1723 GALLAGHER ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-3903
Mailing Address - Country:US
Mailing Address - Phone:989-964-9751
Mailing Address - Fax:
Practice Address - Street 1:1723 GALLAGHER ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-3903
Practice Address - Country:US
Practice Address - Phone:989-964-9751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALFMFLM22101YP1600X
MI6401009418101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral