Provider Demographics
NPI:1952927097
Name:SPEECH-LANGUAGE PATHOLOGY PATHWAYS, INC.
Entity Type:Organization
Organization Name:SPEECH-LANGUAGE PATHOLOGY PATHWAYS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:MA-CCC
Authorized Official - Phone:661-478-1685
Mailing Address - Street 1:2010 W AVENUE K # 504
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-5229
Mailing Address - Country:US
Mailing Address - Phone:661-478-1685
Mailing Address - Fax:661-729-4840
Practice Address - Street 1:44444 16TH ST W STE 201
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2840
Practice Address - Country:US
Practice Address - Phone:661-478-1685
Practice Address - Fax:661-729-4840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty