Healthcare Provider Details

I. General information

NPI: 1679582746
Provider Name (Legal Business Name): JOHN ALEXANDER PLUMER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 5TH ST
DOVER NH
03820-2950
US

IV. Provider business mailing address

16 5TH ST
DOVER NH
03820-2950
US

V. Phone/Fax

Practice location:
  • Phone: 603-749-4462
  • Fax: 603-749-2375
Mailing address:
  • Phone: 603-749-4462
  • Fax: 603-749-2375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberNH418
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: