Individual
MS. COILLE A PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
425 N 30TH ST, OMAHA, NE 68131-2100
(402) 452-5000
(402) 452-5028
Mailing address
DEWIT RITECARE SPEECH, LANGUAGE, & HEARING CLINIC SCHOO, 32 CAMPUS DR, MISSOULA, MT 59812-6695
(406) 243-2405
(406) 243-6678
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
613
NE
235Z00000X
Speech-Language Pathologist
Primary
8110
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06548
BCBS BT
NE
01
—
06553
BCBS ENT
NE
05
—
100251772-00
—
NE
05
—
100251782-00
—
NE
05
—
100251783-00
—
NE
05
—
100252727-00
—
NE
Enumeration date
01/15/2007
Last updated
11/06/2019
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