NPI | 1447943204 |
---|---|
Entity Type | Organization |
Authorized Contact | GILDA LETRICA JACK-JOHNSON Speech Language Pathologist 832-622-4929 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2023-05-30 |
Last Update Date | 2023-10-06 |