| NPI | 1649446683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA BALLARD Accountant 225-343-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2019-04-17 |