| NPI | 1629158258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA FAMIGLIETTI Owner Director 512-327-6179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 231H00000X Audiologist |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-07-22 |