Individual
ALISON BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
109 BRECK STREET, LOREAUVILLE, LA 70552-0275
(337) 229-6632
(337) 229-6632
Mailing address
PO BOX 275, LOREAUVILLE, LA 70552-0275
(337) 229-6632
(337) 229-6632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4779
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326739
—
LA
Enumeration date
03/08/2007
Last updated
07/08/2007
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