Provider Demographics
NPI:1841319712
Name:PALMER, AMY L (PHD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:L
Last Name:PALMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HENDERSONVILLE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2396
Mailing Address - Country:US
Mailing Address - Phone:828-772-5335
Mailing Address - Fax:
Practice Address - Street 1:30 HENDERSONVILLE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2396
Practice Address - Country:US
Practice Address - Phone:828-772-5335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3629103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3629OtherSTATE LICENSURE