MEDICARE: PATHWAYS PSYCHOLOGICAL SERVICES, LLP

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	103TC0700X	Clinical Psychologist	3824	CO

General Provider Information

NPI Number	:	1750702346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHWAYS PSYCHOLOGICAL SERVICES, LLP

Provider Business Mailing Address
First Line	:	2001 WEST ST
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81003-4064
Country	:	US
Telephone Number	:	719-351-7329
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W 8TH ST STE 890
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81003-3038
Country	:	US
Telephone Number	:	719-351-7329
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ERIN LEIGH ASHBY
Credential	:	PSYD
Telephone Number	:	719-351-7329

Provider Enumeration Date	:	12/26/2013
Last Update Date	:	09/15/2025

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