Provider Demographics
NPI:1386812527
Name:PALMER, STUART LEE (PSYD)
Entity type:Individual
Prefix:MR
First Name:STUART
Middle Name:LEE
Last Name:PALMER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 1/2 EAST MAIN ST
Mailing Address - Street 2:STUART L PALMER & ASSOCIATES INC
Mailing Address - City:WILMORE
Mailing Address - State:KY
Mailing Address - Zip Code:40390
Mailing Address - Country:US
Mailing Address - Phone:859-858-2619
Mailing Address - Fax:
Practice Address - Street 1:304 1/2 EAST MAIN ST
Practice Address - Street 2:STUART L PALMER & ASSOCIATES INC
Practice Address - City:WILMORE
Practice Address - State:KY
Practice Address - Zip Code:40390
Practice Address - Country:US
Practice Address - Phone:859-858-2619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY1155103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical