| NPI | 1881455335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKAYCEE CHANEY Speech Language Pathologist 409-201-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |