| NPI | 1528737319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY FONTENOT Speech Language Pathologist 337-280-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |