NPI | 1477153815 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGARET FAYE BERGIN PHILLIPS Speech Language Pathologist, Owner 512-827-7113 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2020-10-26 |
Last Update Date | 2023-07-11 |