Doctor Name: | DR. THOMAS GERARD PLANTE |
NPI Number: | 1063447589 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PSY11002 |
Business Practice Address: | 885 Oak Grove Ave Suite 203 Menlo Park, CA - 940254433 |
Business Phone Number: | 4085544471 |
Business Fax Number: | 4085545241 |
Mailing Address: | 885 Oak Grove Ave, Suite 203 MENLO PARK |
State: | CA |
Postal Code: | 940254433 |
Phone Number: | 4085544471 |
Fax Number: | 4085545241 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY11002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |