| NPI | 1740302108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDRA MICHELLE STEVENSON Agency Administrator 225-622-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 10-00820-078) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2012-04-06 |