| Organization Name: | SPEECH LANGUAGE PATH, LLC |
| NPI Number: | 1396975918 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUCINDA SUE MOREHEAD (SPEECH LANGUAGE PATHOLOGIST / OWNER) |
| Mailing Address: | 7100 N High St Suite 203 Worthington |
| State: | OH US |
| Postal Code: | 430852316 |
| Phone Number: | 6145057330 |
| Fax Number: | 6143885808 |
| NPI Enumeration Date: | 07/16/2009 |
| NPI Last Update Date: | 05/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3958 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| 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 |