| NPI | 1346595394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BALTHAZOR Speech Language Pathologist 512-797-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103115) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |