Larisa Palmer, Psy.D., P.a.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PY7753 Issued in FL

Legal business name

LARISA PALMER, PSY.D., P.A.

Practice address

210 S Federal Hwy
Suite 302
Hollywood, FL 33020-6811

Phone

(954) 925-3191

NPI assigned

Mar 13, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larisa Palmer, PSY.D.

Title

President

Phone

(954) 925-3191

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1225303969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S FEDERAL HWY",
            "address_2": "SUITE 302",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206811",
            "telephone_number": "954-925-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S FEDERAL HWY",
            "address_2": "SUITE 302",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206811",
            "telephone_number": "954-925-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARISA PALMER, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-925-3191",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY7753",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY7753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oliver Bennett Lao, MD
• Christina E Lapp, D.C.
• Lena Demarco Laratro, PA-C
• Marnie Dena Laratro, PSY.D.
• Daniela Larios
• Larkin Community Hospital Behavioral Health Services, Inc
• Larkin Community Hospital Behavioral Health Services, Inc
• Taifa Neslie Larochelle-Hall
• Leydis Larralde
• Karolynne Larrea, LMHC

• Clinical Child & Adolescent Psychologist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Clinical Child & Adolescent Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.