| Organization Name: | SPEECH PATHWAYS, PLLC |
| NPI Number: | 1053361741 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE OWEN SHELTON (SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | 812 12th Ave Nw Ardmore |
| State: | OK US |
| Postal Code: | 734015708 |
| Phone Number: | 5802231313 |
| Fax Number: | 5802231629 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |