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 |