Doctor Name: | AMY PLUNK |
NPI Number: | 1972613552 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A./LPE |
License Number: | PE 11743 |
Business Practice Address: | 641 E Poplar Ave Selmer, TN - 383751828 |
Business Phone Number: | 7316455753 |
Business Fax Number: | 7316459885 |
Mailing Address: | 364 Fire Tower Rd, SELMER |
State: | TN |
Postal Code: | 383752255 |
Phone Number: | 7316455753 |
Fax Number: | 7316459885 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | PE 11743 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |