Healthcare Provider Details

I. General information

NPI: 1578426615
Provider Name (Legal Business Name): TRUE PATH SPEECH THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 PACKETTS LNDG
FAIRPORT NY
14450-1567
US

IV. Provider business mailing address

280 COLLINGWOOD DR
ROCHESTER NY
14621-1017
US

V. Phone/Fax

Practice location:
  • Phone: 315-806-7353
  • Fax:
Mailing address:
  • Phone: 315-806-7353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MAKENZIE DODSKI
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: M.S, CCC-SLP, TSSLD
Phone: 315-806-7353