| NPI | 1619511649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE BIENSTOCK Speech Language Pathologist 985-788-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-11-02 |
| Last Update Date | 2019-11-02 |