Individual
DR. MARC HENRY PLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3175 CUSTER DR, SUITE #200, LEXINGTON, KY 40517-4023
(859) 273-1288
(859) 273-1278
Mailing address
3175 CUSTER DR, SUITE #200, LEXINGTON, KY 40517-4023
(859) 273-1288
(859) 273-1278
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0648
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89006480
—
KY
Enumeration date
04/10/2006
Last updated
07/08/2007
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