Provider Demographics
NPI:1508759267
Name:PACIFIC PATHWAYS SPEECH THERAPY, PC
Entity type:Organization
Organization Name:PACIFIC PATHWAYS SPEECH THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-355-5941
Mailing Address - Street 1:32244 PASEO ADELANTO STE B
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-3617
Mailing Address - Country:US
Mailing Address - Phone:719-355-5941
Mailing Address - Fax:
Practice Address - Street 1:32244 PASEO ADELANTO STE B
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-3617
Practice Address - Country:US
Practice Address - Phone:719-355-5941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty