| Pathway International Incorporated | |
|
3905 Vincennes Rd Ste 303 Indianapolis IN 46268-3030 | |
| (317) 432-3664 | |
| Not Available |
| Full Name | Pathway International Incorporated |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3905 Vincennes Rd Ste 303, Indianapolis, Indiana |
| Authorized Official Name and Position | Donald Lee Hornback (PRESIDENT/CEO) |
| Authorized Official Contact | 3174323664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway International Incorporated 8928 Fathom Crst Indianapolis IN 46256-9571 Ph: (317) 432-3664 | Pathway International Incorporated 3905 Vincennes Rd Ste 303 Indianapolis IN 46268-3030 Ph: (317) 432-3664 |
| NPI Number | 1942671748 |
|---|---|
| Provider Enumeration Date | 10/19/2015 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942671748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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