NPI | 1487822763 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISA Y PREWITT Owner 281-392-8173 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 100951) |
Enumeration Date | 2008-02-20 |
Last Update Date | 2008-02-20 |