| NPI | 1366842403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HAVENOR Speech Pathologist 214-734-2717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 17635) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |