Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 6509 | OH |
Y | 103T00000X | Psychologist | 6509 | OH |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 1290 | KY |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 2006034886 | MO |
NPI | 1124181060 |
---|---|
Provider Name | Dr. Suzanne Rachelle Plummer |
First Address | Cincinnati, OH 45229-3039 |
Second Address | Cincinnati, OH 45229-3039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 09/01/2009 |