Individual
DR. ALISSA G PUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10045 BALTIMORE NATIONAL PIKE # A71158, ELLICOTT CITY, MD 21042-3673
(410) 258-8957
Mailing address
10045 BALTIMORE NATIONAL PIKE # A71158, ELLICOTT CITY, MD 21042-3673
(410) 258-8957
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
04134
MD
Other
Enumeration date
03/30/2022
Last updated
05/01/2022
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