Provider Demographics
NPI:1386895464
Name:S. MICHAEL PLAUT, PHD, PLLC
Entity type:Organization
Organization Name:S. MICHAEL PLAUT, PHD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:S. MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PLAUT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:910-270-2833
Mailing Address - Street 1:78 HAMPSTEAD VLG
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-8250
Mailing Address - Country:US
Mailing Address - Phone:910-270-2833
Mailing Address - Fax:910-328-3878
Practice Address - Street 1:78 HAMPSTEAD VLG
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-8250
Practice Address - Country:US
Practice Address - Phone:910-270-2833
Practice Address - Fax:910-328-3878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2426103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty