| NPI | 1184112658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA HEIMAN Head 318-257-4764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: LA 5681) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: LA 5555) |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 2197) | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |