Doctor Name: | MRS. JAMIE LYNN PUTNAM |
NPI Number: | 1033231055 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCCSLP |
License Number: | 14358 |
Business Practice Address: | 12710 Research Blvd Suite 395 Austin, TX - 787594379 |
Business Phone Number: | 5123314115 |
Business Fax Number: | 5123318176 |
Mailing Address: | 10500 Lockerbie Dr, AUSTIN |
State: | TX |
Postal Code: | 787504028 |
Phone Number: | 5123357537 |
Fax Number: | 5123318176 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 14358 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |