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NPI Code Detail

MEDICARE: SPEECH PATHWAY LLC

MEDICARE: SPEECH PATHWAY LLC
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 Pathologist3305OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659637148
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPEECH PATHWAY LLC
Provider Business Mailing Address
First Line : 6905 NW 122ND ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73142-3903
Country : US
Telephone Number : 405-603-6622
Fax Number : 405-722-3244
Provider Business Practice Location Address
First Line : 6905 NW 122ND ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73142-3903
Country : US
Telephone Number : 405-603-6622
Fax Number : 405-722-3244
Authorized Official
Title or Position : SPEECH-LANGUAGE PATHOLOGIST
Name : MRS. EMILY HATHAWAY
Credential : M.S., CCC-SLP
Telephone Number : 405-603-6622
Provider Enumeration Date : 04/09/2012
Last Update Date : 04/14/2015

Similar Medicare Providers

1063510899 — EMILY HATHAWAY M.S.,CCC-SLP
Practice Location Address:
6905 NW 122ND ST
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1396256897 — CHESLEY MCPHERSON M.S.,CCC-SLP
Practice Location Address:
6905 NW 122ND ST
OKLAHOMA CITY, OK
73142-3903
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Practice Fax:
1619477734 — KYLIE HILLIARD M.A. CCC-SLP
Practice Location Address:
6905 NW 122ND ST
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Practice Fax:
1104393529 — MRS. MICHELE JAYNE RICHARDSON SLP
Practice Location Address:
6905 NW 122ND ST
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Practice Fax:

Directions to “SPEECH PATHWAY LLC ” 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.