| NPI | 1093451395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNDA HARENDT Speech Language Pathologist 806-891-0952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-09 |