Individual
DR. PRISCILLA H PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
168 S. MAIN ST., SUITE 208, NEWARK, DE 19711-7962
(302) 454-8010
(302) 454-8026
Mailing address
168 S. MAIN ST., SUITE 208, NEWARK, DE 19711-3841
(302) 454-8010
(302) 454-8026
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
B1-0000472
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF6995
PALMETTO GBA-RAILROAD MED
DE
Enumeration date
09/23/2006
Last updated
04/17/2013
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