| NPI | 1861698094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLEN FREEMAN Owner 318-614-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 3462) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |