| NPI | 1104819291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRON S. STEPHENS Executive Director 806-359-7681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2022-07-21 |