| NPI | 1982673653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN M TALKINGTON Operations Manager 318-388-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 3812) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-08-22 |