Provider Demographics
NPI:1588086847
Name:PLUMMER, REGINE (LMHC)
Entity type:Individual
Prefix:
First Name:REGINE
Middle Name:
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 MAMARONECK AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-1661
Mailing Address - Country:US
Mailing Address - Phone:347-921-3711
Mailing Address - Fax:
Practice Address - Street 1:933 MAMARONECK AVE STE 202
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-1661
Practice Address - Country:US
Practice Address - Phone:347-921-3711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-06
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health