Provider Demographics
NPI:1457599425
Name:PLUM, SUE ELLEN (MA)
Entity Type:Individual
Prefix:MRS
First Name:SUE
Middle Name:ELLEN
Last Name:PLUM
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10011 CORNER RD
Mailing Address - Street 2:
Mailing Address - City:MERCERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17236-9706
Mailing Address - Country:US
Mailing Address - Phone:717-328-2590
Mailing Address - Fax:
Practice Address - Street 1:144 S 8TH ST
Practice Address - Street 2:SUITE 108
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2755
Practice Address - Country:US
Practice Address - Phone:717-262-2183
Practice Address - Fax:717-262-2486
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health