Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609997774 Individual Practitioner Female Practitioner

Kerry I Puttlitz , CCC-SLP

Speech-Language Pathologist • Prince Frederick, MD

Professional Overview & Biography Verified Profile Summary

Kerry Puttlitz, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Prince Frederick, MD. Practice services are available at 1305 DARES BEACH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1305 Dares Beach Rd

Prince Frederick, MD 20678

Telephone 4435508406
Associated Practice Facility / Clinic
🏢 Calvert County Public Schools Facility NPI 1326262973

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Prince Frederick, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Prince Frederick, MD (4547 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-21
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MD 04505

The 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 geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Md-Commercial Number
61779501

Secondary Practice Locations

707 N Broadway

Baltimore, MD 212051832

Phone: 4439231886

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Brandi Simmons , CCC-SLP

Speech-Language Pathologist

NPI 1023508777

Speech-Language Pathologist (Certificate of Clinical Competence)

Suzanne Mcgowan

Psychologist - School

NPI 1033081807
Allison Gardner

Speech-Language Pathologist

NPI 1043817083
Jill Hartwell , OT

Occupational Therapist

NPI 1053885269

Occupational Therapist

Debra Shatrowsky

Occupational Therapist

NPI 1093285801
NPI 1104474550

PHYSICALTHERAPIST

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
👤
Provider Name / Credentials Updated October 21, 2021

Recorded as KERRY PUTTLITZ, CCC-SLP

📍
Updated Practice Location December 04, 2018

Registered at 1305 DARES BEACH RD, PRINCE FREDERICK, MD 20678 (Tel: 4435508406)

📍
Updated Business Mailing Address December 04, 2018

Registered at 1305 DARES BEACH RD, PRINCE FREDERICK, MD 206784208 (Tel: 4435508406)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 707 N BROADWAY, BALTIMORE, MD 212051832 (Tel: 4439231886)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2931 E BIDDLE ST, BALTIMORE, MD 212133939

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KERRY ISLES, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #04505 in MD)

🟢
Initial NPI Registration & Enumeration April 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609997774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2007
Last Update: October 21, 2021
Sole Proprietor: No

Mailing Address

1305 Dares Beach Rd

Prince Frederick, MD 206784208

Phone: 4435508406

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.