| NPI | 1558036830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGAN DUNGAN Owner/ Speech Pathologist 409-920-5717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2023-03-14 |