Provider Demographics
NPI:1932272929
Name:PALMA, THOMAS V (LP)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:V
Last Name:PALMA
Suffix:
Gender:M
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 W 48TH ST
Mailing Address - Street 2:APT 903
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-3159
Mailing Address - Country:US
Mailing Address - Phone:816-645-7000
Mailing Address - Fax:
Practice Address - Street 1:221 W 48TH ST APT 903
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-3159
Practice Address - Country:US
Practice Address - Phone:816-645-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002030473103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201212718OtherLUMENOS
MO2176688OtherCIGNA
MO2244494002OtherUNITED HEALTHCARE
MO32036026OtherBC&BS - KC
MO498790104Medicaid