| NPI | 1407473994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA WALLER Speech Language Pathologist/Owner 254-383-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |