Mika Southall, SLP Valid NPI
Individual provider · Speech-Language Pathologist · Fort Worth, TX
- NPI
- 1346874369
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- 115249 (TX)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-02-28
- Last updated
- 2020-02-28
Practice location
3840 Hulen St
Fort Worth, TX 76107-7277
(817) 335-3022