| NPI | 1306693767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE DIANE SHIELDES Speech Language Pathologist 903-245-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-29 |