Provider Demographics
NPI:1669585436
Name:PALMS, VALERIE G (MD)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:G
Last Name:PALMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26 LINNAEAN ST
Mailing Address - Street 2:NO.1
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1611
Mailing Address - Country:US
Mailing Address - Phone:617-491-6171
Mailing Address - Fax:
Practice Address - Street 1:26 LINNAEAN ST
Practice Address - Street 2:NO. 1
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1611
Practice Address - Country:US
Practice Address - Phone:617-491-6171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0592932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3044653Medicaid
MA3044653Medicaid