| NPI | 1366741308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNA RENEE AYALA Speech Language Pathologist 956-961-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103914) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103251) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-05-16 |