| NPI | 1477906360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM REDDING Owner 210-614-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 14056) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |