ERIC M. RUSTAD

FORT WORTH, TX
NPI1952457079
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  18992)
Enumeration Date2007-01-25
Last Update Date2007-07-09
Business Address
Mr. ERIC M. RUSTAD M.A., CCC-SLP
2228 MISTLETOE AVE
FORT WORTH, TX 76110-1145
Phone number: 817-939-7307
Mailing Address
Mr. ERIC M. RUSTAD M.A., CCC-SLP
2228 MISTLETOE AVE
FORT WORTH, TX 76110-1145
Phone number: 817-939-7307