Individual
ALEXIS BROUSSARD BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 CHAPLIN DR, LAFAYETTE, LA 70508-2101
(337) 521-7000
Mailing address
4264 BEAU RD, MAURICE, LA 70555-3748
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8228
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8228
—
LA
Enumeration date
05/26/2022
Last updated
05/26/2022
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