| NPI | 1073287272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDIE STREET Speech Language Pathologist 985-981-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-08-03 |