| NPI | 1063854750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY JUMONVILLE Clinic Director 225-578-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 5254) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: LA 2717) |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 3473) | |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 4342) | |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 5440) | |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 1717) | |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 5845) | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |