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 |