NPI age
19 years
Enumerated 2006-12-13
● Active
Type 1 · Individual
Jennifer W. Putnam, M.S. CCC-SLP
Putnam is 1 of 67 speech-language pathologist providers in Pocatello and 1 of 1046 in Idaho.
Primary specialty
Speech-Language Pathologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-03-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1046 active speech-language pathologist providers in Idaho.
NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
3145 Dartagnan Dr
Pocatello, ID 832045090
Mailing address
3145 Dartagnan Dr
Pocatello, ID 832045090
Specialties
-
Speech-Language Pathologist PrimaryThe speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 12012396 | NATIONAL ASHA NUMBER |
| 01 (ID) | SLP-1405 | STATE LICENSE NUMBER |
| 01 (ID) | 000010145355 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | SPL10 | BLUE CROSS OF IDAHO |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new speech-language pathologist provider has been added in Pocatello in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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