Organization
COMMUNICATING OUR WAY SPEECH AND LANGUAGE PATHOLOGY OUTPATIENT SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRESA KEYONNA PHILLIPS M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST/ OWNER)
(281) 662-5107
Entity
Organization
Contact information
Practice address
2417 HIGHLAND DR, VIOLET, LA 70092-2962
(281) 662-5107
Mailing address
2417 HIGHLAND DR, VIOLET, LA 70092-2962
(281) 662-5107
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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