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

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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