| NPI | 1437480886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY RELLER President 318-422-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 2709) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |