| NPI | 1639792013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MATHEWS Speech Pathologist/Owner 469-215-7669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-07-20 |