MEDICARE: HANNAH LINDSAY PUTMAN CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	034049-01	NY

General Provider Information

NPI Number	:	1285482372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH LINDSAY PUTMAN CCC-SLP

Provider Business Mailing Address
First Line	:	121 HALL AVE
Second Line	:
City	:	JOHNSTOWN
State	:	NY
Zip	:	12095-1615
Country	:	US
Telephone Number	:	518-775-0068
Fax Number	:

Provider Business Practice Location Address
First Line	:	56 EAST BLVD
Second Line	:
City	:	GLOVERSVILLE
State	:	NY
Zip	:	12078-3553
Country	:	US
Telephone Number	:	518-775-5740
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2024
Last Update Date	:	05/13/2024

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Directions to “ HANNAH LINDSAY PUTMAN CCC-SLP” Practice Location

Language	Start Address	Practice Location

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