| NPI | 1790305191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENE EARNEST Owner/Speech Language Pathologist 817-718-3198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 251E00000X Home Health |
| 261QA3000X Clinic/Center, Augmentative Communication | |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2020-04-26 |