Organization
ADAPTIVE PATH LEARNING COLLECTIVE
Active
Organization
ADAPTIVE PATH LEARNING COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA KELLOGG M.S. CCC-SLP (CO-OWNER SLP)
(978) 328-8150
Entity
Organization
Contact information
Practice address
404 WOLF SPRINGS RD, GEORGETOWN, TX 78628-2736
(978) 328-8150
Mailing address
404 WOLF SPRINGS RD, GEORGETOWN, TX 78628-2736
(978) 328-8150
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336904200
SLP
—
01
—
1578821328
SLP
—
Enumeration date
02/20/2024
Last updated
03/01/2024
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