| NPI | 1043166713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLORY VARNER Speech Language Pathologist 318-505-8748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-03-05 |
| Last Update Date | 2026-03-05 |