| NPI | 1962715706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE NERICCIO Owner 512-909-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 10310) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |