Individual
DR. JULIA PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2929 COVINGTON CT, LANSING, MI 48912-4941
(517) 798-6745
Mailing address
812 E JOLLY RD, LANSING, MI 48910-6818
(517) 346-8200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017827
MI
Other
Enumeration date
03/14/2021
Last updated
10/14/2021
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