Individual
DENISE PUERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 HOLLY LN, SALINA, KS 67401-8452
(785) 452-4948
(785) 452-6119
Mailing address
400 S SANTA FE AVE, SALINA, KS 67401-4144
(785) 452-4948
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03007
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201308400A
—
KS
Enumeration date
07/23/2020
Last updated
10/27/2023
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