Provider Demographics
NPI:1568254019
Name:RAE PALMER VOICE AND SPEECH SERVICES, PC
Entity type:Organization
Organization Name:RAE PALMER VOICE AND SPEECH SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:619-289-7158
Mailing Address - Street 1:224 F ST
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-2802
Mailing Address - Country:US
Mailing Address - Phone:619-289-7158
Mailing Address - Fax:541-230-2691
Practice Address - Street 1:224 F ST
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-2802
Practice Address - Country:US
Practice Address - Phone:619-289-7158
Practice Address - Fax:541-230-2691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty