Individual
TATYANIA BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FAIRWAY DR, SUTIE 102, DEERFIELD BEACH, FL 33441-1814
(954) 603-7885
Mailing address
14806 SUNSET CREEK DR, HUMBLE, TX 77396-6028
(318) 394-1530
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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