| Dolores T Puterbaugh, Lmhc Pa | |
|
801 W Bay Dr Suite 436 Largo FL 33770-3269 | |
| (727) 559-0863 | |
| (727) 393-9958 |
| Full Name | Dolores T Puterbaugh, Lmhc Pa |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 801 W Bay Dr, Largo, Florida |
| Authorized Official Name and Position | Dolores T Puterbaugh (PRESIDENT) |
| Authorized Official Contact | 7275590863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dolores T Puterbaugh, Lmhc Pa 801 W Bay Dr Suite 436 Largo FL 33770-3269 Ph: (727) 559-0863 | Dolores T Puterbaugh, Lmhc Pa 801 W Bay Dr Suite 436 Largo FL 33770-3269 Ph: (727) 559-0863 |
| NPI Number | 1356390231 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356390231 | NPI | - | NPPES |
| Z9797 | Other | FL | BLUE CROSS/BLUE SHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH 5228 (Florida) | Primary |
| 106H00000X | Marriage & Family Therapist | MT 2164 (Florida) | Primary |
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