Provider Demographics
NPI:1285479782
Name:JULIE PUTTGEN EXPRESSIVE AND SOMATIC THERAPIES, PLLC
Entity type:Organization
Organization Name:JULIE PUTTGEN EXPRESSIVE AND SOMATIC THERAPIES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PUTTGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-727-7049
Mailing Address - Street 1:11 BANK ST STE 302
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-1782
Mailing Address - Country:US
Mailing Address - Phone:802-727-0494
Mailing Address - Fax:
Practice Address - Street 1:11 BANK ST STE 302
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1782
Practice Address - Country:US
Practice Address - Phone:802-727-0494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health