Organization Name: | PRIMARY PATHWAYS SPEECH & LANGUAGE SERVICES, LLC |
NPI Number: | 1649536640 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACQUELINE D MURRY (AGENT) |
Mailing Address: | 3300 Memorial Dr Suite D4/d5 Decatur |
State: | GA US |
Postal Code: | 300322700 |
Phone Number: | 4042894270 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2012 |
NPI Last Update Date: | 04/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP005791 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |