| NPI | 1902154461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE NERICCIO Speech Language Pathologist 512-853-9864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 10310) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |