Provider Demographics
NPI:1841385994
Name:CARLSON & PALMER PC
Entity Type:Organization
Organization Name:CARLSON & PALMER PC
Other - Org Name:THE MARRIAGE & FAMILY INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BARRY
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:602-331-8200
Mailing Address - Street 1:1545 W NORTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-5453
Mailing Address - Country:US
Mailing Address - Phone:602-331-8200
Mailing Address - Fax:602-331-0755
Practice Address - Street 1:1545 W NORTHERN AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-5453
Practice Address - Country:US
Practice Address - Phone:602-331-8200
Practice Address - Fax:602-331-0755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty