| NPI | 1063096758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANI RICHMOND Speech Language Pathologist 972-638-0861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2021-05-08 |