| NPI | 1780480699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN THOMSON Speech Language Pathologist 979-451-9071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-02-21 |