| NPI | 1942533864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL FRANCISCO SALCEDO Nueropsychologist 985-809-0929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: LA 501) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 1574) |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 1574) | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |