| NPI | 1174267744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATONYA N PICKENS Speech Language Pathologist 817-201-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |