| NPI | 1497021117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA CLARK Owner 972-271-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 106104) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |