| NPI | 1851900997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH BRIDGES Owner/Provider 318-209-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2022-02-21 |