| NPI | 1851632509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY L GRANBERRY Owner/Speech Language Pathologist 512-567-2901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 19117) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2021-09-02 |