| NPI | 1407528094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BLAGRAVE Diagnostic Speech Pathologist 325-677-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-10-01 |