| NPI | 1225832595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN MIZE Speech Language Pathologist 254-371-7834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |