| NPI | 1467343624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY FORD Speech Language Pathologist 469-559-7047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-10-18 |