| NPI | 1568805554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN CLINE Owner 254-654-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102626) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |