Putt, Trista

Putt, Trista is an individual health care provider with primary practice located at 938 Penn St , Reading PA 19602-1717. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Putt, Trista can be contacted via phone (610) 478-8088.

Contact Information

Primary practice address
938 Penn St Reading PA 19602-1717
Phone: (610) 478-8088
Fax: (610) 478-4884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X PC007115 Pennsylvania

Profile Details

NPI number 1285867515
LBN Legal business name Putt, Trista
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2009
Last updated Jun 24th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285867515 NPPES
Pennsylvania MEDICAID 103428968

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