MEDICARE: SPEECH PATHWAYS PC

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
1	235Z00000X	Speech-Language Pathologist	14172	TX

General Provider Information

NPI Number	:	1689851826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH PATHWAYS PC

Provider Business Mailing Address
First Line	:	2509 DORRINGTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1928
Country	:	US
Telephone Number	:	713-660-8232
Fax Number	:

Provider Business Practice Location Address
First Line	:	2509 DORRINGTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1928
Country	:	US
Telephone Number	:	713-660-8232
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GRETCHEN BEBB
Credential	:	MS, CCC-SLP
Telephone Number	:	713-660-8232

Provider Enumeration Date	:	01/30/2008
Last Update Date	:	01/30/2008

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Directions to “SPEECH PATHWAYS PC ” Practice Location

Language	Start Address	Practice Location

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