| NPI | 1447633698 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KELLY MCCOY HARGROVE Speech Language Pathologist 318-393-8729  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: LA 6575)  | 
| Enumeration Date | 2015-07-07 | 
| Last Update Date | 2015-07-07 |