| NPI | 1962810184 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHELSI GIBBONS Speech Therapist 225-930-0208  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: LA 7131)  | 
| Enumeration Date | 2014-07-31 | 
| Last Update Date | 2014-07-31 |