| NPI | 1164152203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA BALDWIN Speech Language Pathologist 254-625-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-08-18 |