| NPI | 1265193601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE ROBERTSON Speech Language Pathologist 318-771-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2025-03-26 |