| NPI | 1932175171 |
|---|---|
| Former Name | TAMMY LYNN PUTNAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS-015999-L) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS-015999-l) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2015-08-19 |