NPI | 1316246432 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAUDE NATHANIEL JACKSON Speech/Language Pathologist 832-656-7775 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 18700) |
Enumeration Date | 2011-03-16 |
Last Update Date | 2011-03-16 |