NPI | 1073913364 |
---|---|
Entity Type | Organization |
Authorized Contact | JAIME C COVINGTON Owner/Speech Language Pathologist 318-308-5293 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6121) |
Enumeration Date | 2014-08-25 |
Last Update Date | 2014-08-25 |