| NPI | 1205052271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN WEST HAILEY Speech Language Pathologist 817-481-1854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |