| NPI | 1952172413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN HAYES Speech Language Pathologist 469-474-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |