NPI | 1659535417 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH MODE Speech And Language Pathologist 469-320-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: MA 7047) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2008-07-10 |
Last Update Date | 2020-10-24 |