| NPI | 1134477813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WARDELL Owner 318-795-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6731) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |