Provider Demographics
NPI:1942220579
Name:PALMER, LEE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:LEE
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 1:130 SILVERWOOD PT
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-8935
Mailing Address - Country:US
Mailing Address - Phone:501-767-5937
Mailing Address - Fax:501-318-0383
Practice Address - Street 1:130 SILVERWOOD PT
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-8935
Practice Address - Country:US
Practice Address - Phone:501-767-5937
Practice Address - Fax:501-318-0383
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR203235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR56395OtherBCBS