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 |