| NPI | 1306626833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA GREEN Speech Language Pathologist 318-518-1686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-12-15 |