| NPI | 1154816536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN FOX Speech Language Pathologist 985-237-4237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7720) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2023-01-18 |