| NPI | 1942625280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM CHAMPAGNE Speech Language Pathologist/Manager 337-344-5654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 801936574) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |