Healthcare Provider Details

I. General information

NPI: 1730599168
Provider Name (Legal Business Name): RICHARD E PLASS PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2014
Last Update Date: 05/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 HIGHWAY 150
FLOYDS KNOBS IN
47119-9444
US

IV. Provider business mailing address

PO BOX 4401
JEFFERSONVILLE IN
47131-4401
US

V. Phone/Fax

Practice location:
  • Phone: 812-736-3929
  • Fax:
Mailing address:
  • Phone: 812-736-3929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: