Provider Demographics
NPI:1225636566
Name:PATHWAY SPEECH SOLUTIONS
Entity Type:Organization
Organization Name:PATHWAY SPEECH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:V
Authorized Official - Last Name:BLANKEMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:317-809-6803
Mailing Address - Street 1:12905 UNION SPRINGS DR APT 3B
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4448
Mailing Address - Country:US
Mailing Address - Phone:317-809-6803
Mailing Address - Fax:
Practice Address - Street 1:12905 UNION SPRINGS DR APT 3B
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4448
Practice Address - Country:US
Practice Address - Phone:317-809-6803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty