| NPI | 1861710436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH G FAULKINBERRY Owner 254-709-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 100955) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |