Provider Demographics
NPI:1093551129
Name:THE NEURO SPEECH PATH, LLC
Entity type:Organization
Organization Name:THE NEURO SPEECH PATH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:LINAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-893-6763
Mailing Address - Street 1:125 PENN RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-2638
Mailing Address - Country:US
Mailing Address - Phone:262-893-6763
Mailing Address - Fax:
Practice Address - Street 1:125 PENN RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-2638
Practice Address - Country:US
Practice Address - Phone:262-893-6763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech