| NPI | 1912719055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANNA BRANCH DARK Owner/Speech Language Pathologist 318-235-8644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |