| NPI | 1972920122 |
|---|---|
| Other Name | MOBILE SPEECH CLINIC |
| Entity Type | Organization |
| Authorized Contact | TARA NICOLE TROTT Provider 512-884-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: TX 110687) |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QA3000X Clinic/Center, Augmentative Communication | |
| 171W00000X Contractor | |
| 1744G0900X Specialist, Graphics Designer | |
| 174H00000X Health Educator | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2023-11-22 |