Provider Demographics
NPI:1932432192
Name:PALMER, EVA M
Entity type:Individual
Prefix:MRS
First Name:EVA
Middle Name:M
Last Name:PALMER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:EVA
Other - Middle Name:M
Other - Last Name:HI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5404 LAUREL HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95841-3106
Mailing Address - Country:US
Mailing Address - Phone:916-609-5174
Mailing Address - Fax:916-609-5198
Practice Address - Street 1:5404 LAUREL HILLS DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-3106
Practice Address - Country:US
Practice Address - Phone:916-609-5174
Practice Address - Fax:916-609-5198
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA69949106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program