Doctor Name: | MS. MARY PATRICIA PLAUT |
NPI Number: | 1952382210 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW-ACP |
License Number: | 35761 |
Business Practice Address: | 504 N 8th St Wolfforth, TX - 793823219 |
Business Phone Number: | 8064414416 |
Business Fax Number: | |
Mailing Address: | 504 N 8th St, WOLFFORTH |
State: | TX |
Postal Code: | 793823219 |
Phone Number: | 8064414416 |
Fax Number: | |
NPI Enumeration Date: | 11/11/2005 |
NPI Last Update Date: | 12/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 35761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |