| NPI | 1154104503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN LEMMON Speech Language Pathologist 432-634-7126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |