Provider Demographics
NPI:1396293130
Name:MOYER-SOTTOLANO, PALMA LUCY (RN CAC, CLC)
Entity type:Individual
Prefix:MS
First Name:PALMA
Middle Name:LUCY
Last Name:MOYER-SOTTOLANO
Suffix:
Gender:F
Credentials:RN CAC, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 MILL RD
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-2668
Mailing Address - Country:US
Mailing Address - Phone:484-764-0484
Mailing Address - Fax:
Practice Address - Street 1:117 MILL RD
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-2668
Practice Address - Country:US
Practice Address - Phone:484-764-0481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN119759L101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor