| NPI | 1942083241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE JEAN DRAPER Speech Language Pathologist 318-623-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |