# MRS. DELORA V PUTNAM-BRYANT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386228641
- **Gender:** F
- **Credential:** ATR-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 221700000X | Art Therapist | 14-304 | WI | Yes |

## Other

- **Enumeration date:** 05/11/2021
- **Last updated:** 05/11/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 14-3062691 | ART THERAPY HOUSE, INC | WI |