MS. SEAN PUTNAM


Address: 127 Hillside Ave, Suffolk, VA 23434-2074
Phone: 7577243814

MS. SEAN PUTNAM (NPI# 1295157303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295157303
Entity Type Individual
Full Name MS. SEAN PUTNAM
Practice Address 127 Hillside Ave
Suffolk
VA 23434-2074
Practice Telephone 7577243814
Mailing Telephone 7577243814
Enumeration Date 2014-01-08
Last Update Date 2014-01-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 127 HILLSIDE AVE
City SUFFOLK
State VA
Zip Code 23434-2074

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1730660952 Latrese L Riddick Driver 418 Jackson St, Suffolk, VA 23434 2018-08-25
1114411279 Percilla D Zeno Community Health Worker 102 Niblick Cir, Suffolk, VA 23434 2018-06-21
1437652765 Aprele Gaddie Health Educator 2769 Godwin Boulevard, Suffolk, VA 23434 2018-03-13
1598284283 Domonic Teheran Scott Driver 102 Brewer Ave, Suffolk, VA 23434 2017-09-13
1578089397 Nakia Shantel Francis Nurse Practitioner 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 2017-08-15
1679093009 Daisy Mae Aba, LLC Behavioral Analyst 3212 Clearcreek Rd., Suffolk, VA 23434 2017-06-27
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508388612 Lopez & Associates Therapy Group, PC Developmental Therapist 1602 Belle View Blvd., Suite 735, Alexandria, VA 22307 2017-07-10
1861843211 Samantha Watson Developmental Therapist 4280 Cotswolds Hill Ln, Fairfax, VA 22030-4418 2016-06-27
1457701047 Cynthia Martinez Developmental Therapist 780 Lynnhaven Parkway, Suite 400, Virginia Beach, VA 23452 2016-06-15
1821459983 Diana Barker Developmental Therapist 5 Commercial Pl, Newport News, VA 23606-1339 2016-03-16
1760849954 Nicole Johnson Developmental Therapist 58 Garden Dr, Alexandria, VA 22304-4928 2016-01-20
1891179859 Laura Fitzpatrick Developmental Therapist 8059 Stillbrooke Rd, Manassas, VA 20112-4602 2015-07-18
1669859039 Emily Ann Mcgrath Developmental Therapist 8750 Bradley Forge Dr, Manassas, VA 20112-4527 2015-05-05
1295131985 Rachel Diane Douglass Developmental Therapist 40 Egret Ct, Stafford, VA 22554-7776 2014-11-07
1114321577 Tamira Mckinley Developmental Therapist 225 A View Ave, Unit 107, Norfolk, VA 23503 2014-10-14
1851792071 Stephanie Quirk Developmental Therapist 12041 Odion Ln, Woodbridge, VA 22192-5342 2014-09-07
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Competitor

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City SUFFOLK
Zip Code 23434

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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