| NPI | 1417318627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SHAVONNE CROCKETT Executive Director 281-451-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 101249) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |