| Organization Name: | LOGOPEDIA THERAPY CLINIC, INC |
| NPI Number: | 1558637330 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALIA IRENE GUTIERREZ (OWNER) |
| Mailing Address: | 848 Manzanilla Court Suite 1 Elsa |
| State: | TX US |
| Postal Code: | 785432798 |
| Phone Number: | 9562554154 |
| Fax Number: | 9562554157 |
| NPI Enumeration Date: | 03/27/2012 |
| NPI Last Update Date: | 03/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |