| NPI | 1447845078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE CRISTY BANCAYAN-TOMLIN Speech Language Pathologist 512-644-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2022-01-28 |