| NPI | 1609374156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE THOMAS Owner 337-534-8679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: LA 7421) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |