Individual
DR. SHELLEY M PLAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
106 E 5TH AVE, ROME, GA 30161-3128
(706) 506-8684
Mailing address
106 E 5TH AVE, ROME, GA 30161-3128
(706) 506-8684
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2044
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00719408A
—
GA
Enumeration date
03/20/2007
Last updated
07/08/2007
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