Healthcare Provider Details

I. General information

NPI: 1831372713
Provider Name (Legal Business Name): RESHANDA D PLUMMER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2007
Last Update Date: 12/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 BROAD STREET SENECA HEALTH SERVICES INC
SUMMERSVILLE WV
26651
US

IV. Provider business mailing address

1305 WEBSTER ROAD SENECA HEALTH SERVICES INC
SUMMERSVILLE WV
26651
US

V. Phone/Fax

Practice location:
  • Phone: 304-872-2090
  • Fax: 304-872-3590
Mailing address:
  • Phone: 304-872-6577
  • Fax: 304-872-5415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: