| NPI | 1033966056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA MCCORMICK Owner/Speech Language Pathologist 817-221-8854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-29 |