Organization
PATHWAY PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLEEN STINSON M.S., CCC/SLP (OWNER)
(678) 481-6444
Entity
Organization
Contact information
Practice address
156 PEACHTREE EAST SHOPPING CTR, 149, PEACHTREE CITY, GA 30269-4045
(678) 481-6444
(678) 817-7652
Mailing address
156 PEACHTREE EAST SHOPPING CTR, 149, PEACHTREE CITY, GA 30269-4045
(678) 481-6444
(678) 817-7652
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT001476
GA
235Z00000X
Speech-Language Pathologist
SLP003612
GA
235Z00000X
Speech-Language Pathologist
SLP003812
GA
235Z00000X
Speech-Language Pathologist
SLP003830
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP004195
GA
235Z00000X
Speech-Language Pathologist
SLP004437
GA
235Z00000X
Speech-Language Pathologist
SLP007352
GA
235Z00000X
Speech-Language Pathologist
SLP007415
GA
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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