| NPI | 1114561396 |
|---|---|
| Former Legal Business Name | VIVID SPEECH |
| Entity Type | Organization |
| Authorized Contact | ASHLEY BUBA Owner, Speech Language Pathologist 512-400-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |