| NPI | 1952156275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE CHAMPAGNE Speech Language Pathologist 337-309-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |