Healthcare Provider Details

I. General information

NPI: 1669801940
Provider Name (Legal Business Name): COMUNICATION PATHWAYS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2013
Last Update Date: 02/24/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 S HURON RD SUITE B
GREEN BAY WI
54311
US

IV. Provider business mailing address

821 S HURON RD SUITE B
GREEN BAY WI
54311
US

V. Phone/Fax

Practice location:
  • Phone: 920-737-2152
  • Fax: 920-632-7173
Mailing address:
  • Phone: 920-737-2152
  • Fax: 920-632-7173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SL0600X
TaxonomyLong-Term Care Clinical Nurse Specialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. MARY-BETH MARCOTTE FRIDAY
Title or Position: OWNER
Credential: M.ED., CCC-SLP
Phone: 920-737-2152