Organization
DOLORES T PUTERBAUGH, LMHC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOLORES T PUTERBAUGH PHD (PRESIDENT)
(727) 559-0863
Entity
Organization
Contact information
Practice address
801 W BAY DR, SUITE 436, LARGO, FL 33770-3269
(727) 559-0863
(727) 393-9958
Mailing address
801 W BAY DR, SUITE 436, LARGO, FL 33770-3269
(727) 559-0863
(727) 393-9958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 5228
FL
106H00000X
Marriage & Family Therapist
Primary
MT 2164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z9797
BLUE CROSS/BLUE SHIELD ID
FL
Enumeration date
05/09/2006
Last updated
09/11/2025
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