| NPI | 1962923334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE RODDY Owner 469-632-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111744) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2023-02-27 |