Provider Demographics
NPI:1497154942
Name:PATHS TO INDEPENDENCE
Entity Type:Organization
Organization Name:PATHS TO INDEPENDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER, EDUCATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-914-9920
Mailing Address - Street 1:4041 SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-5124
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4041 SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-5124
Practice Address - Country:US
Practice Address - Phone:918-914-9920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2780235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty