| NPI | 1275922197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY DIONE FERNANDEZ Speech Pathologist/Manager 225-200-4303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6079) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |