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PRIMARY PATHWAYS LLC NPI 1528485455


NPI Information

NPI: 1528485455
Provider Name: PRIMARY PATHWAYS, LLC

Other Name: PRIMARY PATHWAYS SPEECH & LANGUAGE SERVICES, LLC

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
2385 LAWRENCEVILLE HWY STE B-2
DECATUR, GA
ZIP 30033
Phone: (770) 500-5508
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PRIMARY PATHWAYS, LLC is a speech language pathologist in Decatur, GA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. PRIMARY PATHWAYS, LLC NPI is 1528485455. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Primary Pathways Speech & Language Services, Llc.

The provider's business location address is:

2385 LAWRENCEVILLE HWY STE B-2
DECATUR, GA
ZIP 30033-168
Phone: (770) 500-5508
Fax: (404) 597-4050

The provider's authorized official is Jacqueline Denise Murry .
The authorized official title is Owner/president and has the following contact phone number (770) 500-5508.

The enumeration date for this NPI number is 3/28/2014 and was last updated on 6/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistSLP005791GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1674689092DMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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