| Organization Name: | PATHWAYS 2 SPEECH |
| NPI Number: | 1003113408 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY ELIZABETH CLEMONS (LSLS CERT. AVT, CCC-SLP) |
| Mailing Address: | 719 Franklin Ln Vista |
| State: | CA US |
| Postal Code: | 920845153 |
| Phone Number: | 7605188563 |
| Fax Number: | 7604807366 |
| NPI Enumeration Date: | 02/21/2011 |
| NPI Last Update Date: | 02/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP9784 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |