| Speech Pathway Llc | |
|
6905 Nw 122nd St, Oklahoma City, OK 73142-3903 | |
| (405) 603-6622 | |
| (405) 722-3244 |
| Full Name | Speech Pathway Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 6905 Nw 122nd St, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659637148 | NPI | - | NPPES |
| 200423870A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3305 (Oklahoma) | Primary |
| Provider Name | Emily Hathaway |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063510899 PECOS PAC ID: 9133593049 Enrollment ID: I20230316000907 |
| Provider Name | Kathryn Brannnen Blaney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952706244 PECOS PAC ID: 2860845963 Enrollment ID: I20240125000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Speech Pathway Llc 6905 Nw 122nd St, Oklahoma City, OK 73142-3903 Ph: (405) 603-6622 | Speech Pathway Llc 6905 Nw 122nd St, Oklahoma City, OK 73142-3903 Ph: (405) 603-6622 |
Ms. Shanun Micaela Gibson, M.S.,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9031 Sw 29th St, Oklahoma City, OK 73179 Phone: 405-732-3946 Fax: 405-261-6311 | |
Heather Mitchell, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1211 N Shartel Ave, Suite 200, Oklahoma City, OK 73103 Phone: 405-355-3239 | |
Mitsie Shurtz, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3030 Nw Expwy Ste 809, Oklahoma City, OK 73112 Phone: 405-917-7160 | |
Hannah Lopez, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5701 Se 74th St, Oklahoma City, OK 73135 Phone: 405-610-1909 Fax: 405-910-1910 | |
Mrs. Rheagan Diane Ballard, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2828 Nw 57th St Ste 100, Oklahoma City, OK 73112 Phone: 405-286-3749 | |
Leigh Hibbard, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13819 Quail Pointe Dr, Oklahoma City, OK 73134 Phone: 405-467-6782 | |
Mona Rena Ryan, M.S. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1200 N Stonewall Ave, John W Keys Speech And Hearing, Oklahoma City, OK 73117 Phone: 405-271-4214 Fax: 405-271-3360 |