Doctor Name: | THOMAS R PLUNKETT |
NPI Number: | 1174601025 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | 104835 |
Business Practice Address: | 1211 Main St Williamstown, MA - 012672633 |
Business Phone Number: | 4138222329 |
Business Fax Number: | 4133043413 |
Mailing Address: | 1211 Main St, WILLIAMSTOWN |
State: | MA |
Postal Code: | 012672633 |
Phone Number: | 4138222329 |
Fax Number: | 4133043413 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 104835 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |