Provider Demographics
NPI:1457076986
Name:PALMER, CAMILLE E
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:E
Last Name:PALMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 MEADOWOOD BLVD APT 238
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-4725
Mailing Address - Country:US
Mailing Address - Phone:405-801-2217
Mailing Address - Fax:
Practice Address - Street 1:2500 MEADOWOOD BLVD APT 238
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-4725
Practice Address - Country:US
Practice Address - Phone:405-801-2217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical