| NPI | 1710371661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME PRATT Board Of Director Chairman 806-353-3596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 12148) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |