NPI | 1285005157 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN M STANLEY Owner/Slp 225-284-5873 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: TX 109048) |
Enumeration Date | 2015-10-16 |
Last Update Date | 2023-04-17 |