Provider Demographics
NPI:1467664185
Name:PLUMMER, ELIZABETH P (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:P
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2827 PALOMINO RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2125
Mailing Address - Country:US
Mailing Address - Phone:805-682-5544
Mailing Address - Fax:
Practice Address - Street 1:2323 DE LA VINA ST STE 207
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3880
Practice Address - Country:US
Practice Address - Phone:805-682-5544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA42ABMedicaid
CA0675240OtherMEDI-CAL
BQ829AOtherMEDICARE PTAN
CA42ABMedicaid
CACP19690Medicare PIN