Puttlitz, Kerry I

Puttlitz, Kerry I is an individual health care provider with primary practice located at 1305 Dares Beach Rd , Prince Frederick MD 20678. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Puttlitz, Kerry I can be contacted via phone (443) 550-8406.

Contact Information

Primary practice address
1305 Dares Beach Rd Prince Frederick MD 20678
Phone: (443) 550-8406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 04505 Maryland

Profile Details

NPI number 1609997774
LBN Legal business name Puttlitz, Kerry I
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Oct 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609997774 NPPES
Other 61779501 MD-COMMERCIAL NUMBER

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