Provider Demographics
NPI:1053048066
Name:CLEAR PATH PEDIATRIC THERAPY LLC
Entity type:Organization
Organization Name:CLEAR PATH PEDIATRIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DENNAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-602-2848
Mailing Address - Street 1:413 CLEMENS DR
Mailing Address - Street 2:
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-1348
Mailing Address - Country:US
Mailing Address - Phone:717-602-2848
Mailing Address - Fax:
Practice Address - Street 1:413 CLEMENS DR
Practice Address - Street 2:
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-1348
Practice Address - Country:US
Practice Address - Phone:717-602-2848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty