| NPI | 1568868800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIE MIZCLES-EUSEBIO Speeech Therapist 915-317-9716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-21 |