| NPI | 1811719800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIAN JERNE MARSHALL Speech Language Pathologist 318-789-8931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |