Provider Demographics
NPI:1144972589
Name:MY PATH SPEECH-LANGUAGE THERAPY, PLLC
Entity type:Organization
Organization Name:MY PATH SPEECH-LANGUAGE THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:NEVILLE
Authorized Official - Last Name:WARWICK
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:346-588-2174
Mailing Address - Street 1:27115 DOWNING PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1521
Mailing Address - Country:US
Mailing Address - Phone:914-334-5503
Mailing Address - Fax:
Practice Address - Street 1:2401 YALE ST OFC 2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2507
Practice Address - Country:US
Practice Address - Phone:346-588-2174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty