| NPI | 1134715840 |
|---|---|
| Doing Business As | ST. GABRIEL SPEECH-LANGUAGE PATHOLOGY |
| Entity Type | Organization |
| Authorized Contact | AMELIA NICOLE SINES Speech Language Pathologist 318-471-5671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2021-01-15 |