| NPI | 1891975462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MARIE BROUSSARD Doctor Of Audiology/Owner 239-768-3078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1198) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2022-02-16 |