Healthcare Provider Details
I. General information
NPI: 1346991395
Provider Name (Legal Business Name): THERAPY PATHWAYS SPEECH AND LANGUAGE SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/11/2022
Last Update Date: 01/11/2022
Certification Date: 01/11/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
81 PONDFIELD RD STE 5
BRONXVILLE NY
10708-3817
US
IV. Provider business mailing address
3 MIDLAND GDNS APT 1H
BRONXVILLE NY
10708-4725
US
V. Phone/Fax
- Phone: 914-319-0777
- Fax:
- Phone: 914-319-0777
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
NIAMH
HARTNETT
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: CCC-SLP
Phone: 914-319-0777