| NPI | 1801198197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JEAN TODD Speech Language Pathologist 469-523-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 101113) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |