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NPI Code Detail

MEDICARE: ANNA LEE PUTMAN

MEDICARE: ANNA LEE PUTMAN
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
1235Z00000XSpeech-Language Pathologist5548AL

General Provider Information

NPI Number : 1841056652
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA LEE PUTMAN
Provider Business Mailing Address
First Line : 1624 WHITESBORO RD
Second Line :
City : BOAZ
State : AL
Zip : 35956-5138
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 307 GRAND AVE NW
Second Line :
City : FORT PAYNE
State : AL
Zip : 35967-2109
Country : US
Telephone Number : 256-601-3015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2024
Last Update Date : 02/28/2024

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Directions to “ ANNA LEE PUTMAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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