Provider Demographics
NPI:1871686923
Name:PALMER, ELIZABETH (SLP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:
Last Name:PALMER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7109 AMBASSADOR PL
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-5502
Mailing Address - Country:US
Mailing Address - Phone:865-924-2680
Mailing Address - Fax:865-688-2113
Practice Address - Street 1:7109 AMBASSADOR PL
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-5502
Practice Address - Country:US
Practice Address - Phone:865-924-2680
Practice Address - Fax:865-688-2113
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2744235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist