| NPI | 1154937639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BRIAR HEAD Speech Language Pathologist 806-679-3103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2020-09-19 |