Organization Name: | PEDIATRIC SPEECH AND LANGUAGE SERVICES |
NPI Number: | 1841321924 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARSHA T LEGOULLON (OWNER) |
Mailing Address: | 9029 Redwood Rd Abbeville |
State: | LA US |
Postal Code: | 705102173 |
Phone Number: | 3378931501 |
Fax Number: | 3378936607 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4980 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |