| NPI | 1275179855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA IPPOLITO Speech Language Pathologist 469-442-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |