| Organization Name: | VILLAGE PATHWAYS COMPREHENSIVE THERAPY, LLC |
| NPI Number: | 1730551219 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACQUELINE D MURRY (OWNER) |
| Mailing Address: | 2385 Lawrenceville Hwy Ste B Decatur |
| State: | GA US |
| Postal Code: | 300333168 |
| Phone Number: | 4042894270 |
| Fax Number: | 4043932424 |
| NPI Enumeration Date: | 10/23/2015 |
| NPI Last Update Date: | 10/23/2015 |
| 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 |