Provider Demographics
NPI:1356086136
Name:DUMAR, LANDON (MED, CMPC)
Entity Type:Individual
Prefix:
First Name:LANDON
Middle Name:
Last Name:DUMAR
Suffix:
Gender:M
Credentials:MED, CMPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHERBORN
Mailing Address - State:MA
Mailing Address - Zip Code:01770-1403
Mailing Address - Country:US
Mailing Address - Phone:508-479-2684
Mailing Address - Fax:
Practice Address - Street 1:269 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SHERBORN
Practice Address - State:MA
Practice Address - Zip Code:01770-1403
Practice Address - Country:US
Practice Address - Phone:508-479-2684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health