| NPI | 1578749354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSA MARQUIS COLVARD Owner 915-533-1388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 15300) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |