Individual
DR. ROGER WALLACE PLANTIKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN.
Contact information
Practice address
500 MORRIS AVE, SUITE 320, SPRINGFIELD, NJ 07081-1027
(973) 376-6336
(973) 376-7304
Mailing address
500 MORRIS AVE, SUITE 302, SPRINGFIELD, NJ 07081-1027
(973) 376-6336
(973) 376-7304
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
972
—
106H00000X
Marriage & Family Therapist
Primary
37FI00038300
NJ
Other
Enumeration date
05/16/2007
Last updated
09/02/2014
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