Individual
EMILY RUTH SMITH PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8729485-2504
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164589669
NPI REGISTRY
UT
Enumeration date
06/09/2014
Last updated
06/09/2014
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