NPI | 1346690740 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN MUSSO Manager/Owner 337-419-0086 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7129) |
Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
Enumeration Date | 2016-06-16 |
Last Update Date | 2023-03-22 |