Individual
EMILY LAUREN PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCP
Contact information
Practice address
3040 AVEMORE SQUARE PL, CHARLOTTESVILLE, VA 22911-7228
(434) 220-0089
Mailing address
3040 AVEMORE SQUARE PL, CHARLOTTESVILLE, VA 22911-7228
(919) 523-6100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008137
VA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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