| NPI | 1659745446 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | BRENDA GILLAR Speech Language Pathologist 972-935-4752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111907) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |