| NPI | 1225171937 |
|---|---|
| Doing Business As | THE LIVE OAK CENTER FOR COMMUNICATION DISORDERS |
| Entity Type | Organization |
| Authorized Contact | DEBORAH JAYNE LARSON Clinical Director 512-453-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-08-18 |