| NPI | 1295109338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY MATTHEWS FONTENOT Speech Language Pathologist 337-280-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6425) |
| Enumeration Date | 2015-11-29 |
| Last Update Date | 2015-11-29 |