Individual
DIMITRI PUTILIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
311 COLONY WOODS DR, CHAPEL HILL, NC 27517-7904
(919) 200-0522
Mailing address
311 COLONY WOODS DR, CHAPEL HILL, NC 27517-7904
(919) 200-0522
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5134
NC
Other
Enumeration date
03/19/2017
Last updated
03/19/2017
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