Individual
MARK RAYMOND PLUMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
800 E CITY AVE, NORFOLK, VA 23510
(757) 670-3945
Mailing address
907 JOUETT DR, NEWPORT NEWS, VA 23608-1328
(801) 682-0901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5315952-4102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12034788
ASHA
UT
Enumeration date
12/07/2007
Last updated
12/10/2020
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