| NPI | 1952655961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY OLIVER THOMAS President 318-998-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: LA 1192) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 5885) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |