| NPI | 1679299440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA WALDRUP Speech Language Pathologist, Owner 214-789-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-10-13 |