Individual
DR. PUNAM RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071009529
IL
103TC0700X
Clinical Psychologist
Primary
PSY004170
GA
103TR0400X
Rehabilitation Psychologist
071009529
IL
Other
Enumeration date
05/30/2017
Last updated
01/23/2018
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