Provider Demographics
NPI:1215577119
Name:PLUMMER, MADELEINE EMILY (LPC)
Entity Type:Individual
Prefix:
First Name:MADELEINE
Middle Name:EMILY
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MADELEINE
Other - Middle Name:EMILY
Other - Last Name:BALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:115 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-3501
Mailing Address - Country:US
Mailing Address - Phone:484-557-9346
Mailing Address - Fax:
Practice Address - Street 1:115 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-3501
Practice Address - Country:US
Practice Address - Phone:484-557-9346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-09
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional