| NPI | 1922623768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAILEY KAYE YERBY Speech Language Pathologist 940-366-6196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-07-20 |