| NPI | 1952547580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY K BARTELT Supervisor And Ccc Slp 512-610-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102697) |
| Enumeration Date | 2009-01-03 |
| Last Update Date | 2009-01-03 |