Provider Demographics
NPI:1730335639
Name:PUTNEY, TARYN KAYE (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:TARYN
Middle Name:KAYE
Last Name:PUTNEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MRS
Other - First Name:TARYN
Other - Middle Name:KAYE
Other - Last Name:PUTNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:50 STRATTON LN
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:NY
Mailing Address - Zip Code:12170-1502
Mailing Address - Country:US
Mailing Address - Phone:518-598-7332
Mailing Address - Fax:
Practice Address - Street 1:50 STRATTON LN
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:NY
Practice Address - Zip Code:12170-1502
Practice Address - Country:US
Practice Address - Phone:518-598-7332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017322235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist