| NPI | 1164957874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY PRINCE BACK Speech Language Pathologist 337-298-3176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |