MEDICARE: PATHWAY SPEECH SOLUTIONS

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

General Provider Information

NPI Number	:	1225636566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHWAY SPEECH SOLUTIONS

Provider Business Mailing Address
First Line	:	12905 UNION SPRINGS DR APT 3B
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46032-4448
Country	:	US
Telephone Number	:	317-809-6803
Fax Number	:

Provider Business Practice Location Address
First Line	:	12905 UNION SPRINGS DR APT 3B
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46032-4448
Country	:	US
Telephone Number	:	317-809-6803
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATHERINE V BLANKEMEIER
Credential	:	M.A., CCC-SLP
Telephone Number	:	317-809-6803

Provider Enumeration Date	:	10/09/2020
Last Update Date	:	10/09/2020

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Directions to “PATHWAY SPEECH SOLUTIONS ” Practice Location

Language	Start Address	Practice Location

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