| NPI | 1619159134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE JOHNSTON Speech Language Pathologist 817-294-8408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 10222) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |