| NPI | 1588151146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ENSMINGER LOOMIS Speech Language Pathologist 318-381-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 6405) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |