Healthcare Provider Details

I. General information

NPI: 1558528604
Provider Name (Legal Business Name): MRS. BARBARA THACHER PLIMPTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BARBARA BURRAL THACHER PHD

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 05/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 COURT ST SUITE 2700
BROOKLYN NY
11242-0103
US

IV. Provider business mailing address

26 COURT ST SUITE 2700
BROOKLYN NY
11242-0103
US

V. Phone/Fax

Practice location:
  • Phone: 717-875-2890
  • Fax:
Mailing address:
  • Phone: 717-875-2890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number007136-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: