NPI | 1659503985 |
---|---|
Entity Type | Organization |
Authorized Contact | REBEKAH GAYLE FAULKINBERRY President/Owner 254-709-8847 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 100955) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2010-05-03 |