Basic Information
Provider Information
NPI: 1265674816
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PLUHAR
FirstName: EMILY
MiddleName: FRELINGHUYSEN
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ISRAEL
OtherFirstName: EMILY
OtherMiddleName: FRELINGHUYSEN
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: PH.D.
OtherLastNameType: 1
Mailing Information
Address1: 160 LAUREL RD
Address2:  
City: CHESTNUT HILL
State: MA
PostalCode: 024672213
CountryCode: US
TelephoneNumber: 9176128152
FaxNumber:  
Practice Location
Address1: 11 WATER ST
Address2: SUITE 1A
City: ARLINGTON
State: MA
PostalCode: 024764812
CountryCode: US
TelephoneNumber: 7816489700
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/28/2009
LastUpdateDate: 10/26/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X018029NYY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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