Individual
STEVEN HOWARD PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4730
(517) 788-4701
Mailing address
DEPARTMENT 272801, PO BOX 67000, DETROIT, MI 48267-2728
(517) 841-6913
(517) 841-6917
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301007831
MI
103TC0700X
Clinical Psychologist
Primary
6301007831
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680013187
RR MEDICARE
MI
Enumeration date
04/27/2006
Last updated
02/13/2024
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