Healthcare Provider Details

I. General information

NPI: 1356086136
Provider Name (Legal Business Name): LANDON DUMAR LMHC, CMPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 S MAIN ST
SHERBORN MA
01770-1403
US

IV. Provider business mailing address

269 S MAIN ST
SHERBORN MA
01770-1403
US

V. Phone/Fax

Practice location:
  • Phone: 508-479-2684
  • Fax:
Mailing address:
  • Phone: 508-479-2684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10003647
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: