Provider Demographics
NPI:1487808663
Name:PLATH, DOUGLAS FRANK (PHD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:FRANK
Last Name:PLATH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:280 DOBBS FERRY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607-1900
Mailing Address - Country:US
Mailing Address - Phone:914-997-2668
Mailing Address - Fax:845-208-2080
Practice Address - Street 1:280 DOBBS FERRY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1900
Practice Address - Country:US
Practice Address - Phone:914-997-2668
Practice Address - Fax:845-208-2080
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ00013740103TS0200X
NYDCMH 06890103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool