NPI | 1851714729 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISE F DAVIS Speech Language Pathologist/Owner 225-456-6293 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 5212) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2014-01-29 |
Last Update Date | 2021-08-08 |