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Organization

SPEECH PATHWAY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EMILY HATHAWAY M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(405) 603-6622
Entity
Organization

Contact information

Practice address
6905 NW 122ND ST, OKLAHOMA CITY, OK 73142-3903
(405) 603-6622
(405) 722-3244
Mailing address
6905 NW 122ND ST, OKLAHOMA CITY, OK 73142-3903
(405) 603-6622
(405) 722-3244

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3305
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200423870A
OK
Enumeration date
04/09/2012
Last updated
04/14/2015
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