Provider Demographics
NPI:1588392401
Name:PALMER, ABIGAIL E (MT-BC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:E
Last Name:PALMER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 LINCOLN RD NE APT 8
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1127
Mailing Address - Country:US
Mailing Address - Phone:240-687-1427
Mailing Address - Fax:
Practice Address - Street 1:2321 LINCOLN RD NE APT 8
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1127
Practice Address - Country:US
Practice Address - Phone:240-687-1427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09823225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist