NPI | 1104968908 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY CUNNINGHAM President 512-467-7006 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 14336) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2020-08-22 |