| Organization Name: | THE SPEECH PATH PLLC |
| NPI Number: | 1578941399 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE LYNN HOGG RANEY (OWNER/ SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | 210 N Broadway St Suite 5 Berea |
| State: | KY US |
| Postal Code: | 404032212 |
| Phone Number: | 8593533666 |
| Fax Number: | 8594487077 |
| NPI Enumeration Date: | 05/13/2015 |
| NPI Last Update Date: | 05/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3991 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| 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 |