Putnam, Jennifer W.

Putnam, Jennifer W. is an sole proprietor health care provider with primary practice located at 3145 Dartagnan Dr , Pocatello ID 83204-5090. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Putnam, Jennifer W. can be contacted via phone (208) 520-1403.

Contact Information

Primary practice address
3145 Dartagnan Dr Pocatello ID 83204-5090
Phone: (208) 520-1403
Fax: (208) 232-2766
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-1405 Idaho

Profile Details

NPI number 1518028141
LBN Legal business name Putnam, Jennifer W.
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Mar 7th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518028141 NPPES
Idaho Other 12012396 NATIONAL ASHA NUMBER
Idaho Other SLP-1405 NATIONAL ASHA NUMBER
Idaho Other 000010145355 NATIONAL ASHA NUMBER
Idaho Other SPL10 NATIONAL ASHA NUMBER

Popular Providers