| NPI | 1124708201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI JAMES Speech Language Pathologist 580-471-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |