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Organization
PUTT PEDIATRIC SPEECH AND LANGUAGE THERAPY, LLC
Active
Organization
PUTT PEDIATRIC SPEECH AND LANGUAGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAITLIN HELENE PUTT M.A. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST, CEO)
(574) 387-3567
Entity
Organization
Contact information
Practice address
57657 BOULDER CT, GOSHEN, IN 46528-7860
(574) 849-0037
(574) 807-9564
Mailing address
57657 BOULDER CT, GOSHEN, IN 46528-7860
(574) 849-0037
(574) 807-9564
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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