Provider Demographics
NPI:1588144224
Name:PALMER, PAMELA PIER (SLPA)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:PIER
Last Name:PALMER
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6051 ROSS AVE UNIT 120
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-8592
Mailing Address - Country:US
Mailing Address - Phone:817-614-9399
Mailing Address - Fax:
Practice Address - Street 1:14160 DALLAS PKWY STE 415
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-4356
Practice Address - Country:US
Practice Address - Phone:972-385-0006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX337342355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant