Individual
DR. ELIZABETH P PLUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13561 N PLACITA MONTANAS DE ORO, ORO VALLEY, AZ 85755
(805) 455-7202
Mailing address
13561 N PLACITA MONTANAS DE ORO, ORO VALLEY, AZ 85755
(805) 455-7202
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0675240
MEDI-CAL
CA
05
—
42AB
—
CA
01
—
BQ829A
MEDICARE PTAN
—
Enumeration date
05/04/2007
Last updated
03/26/2025
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