Organization
AUSTIN SPEECH PATHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLI JENKINES BROUSSARD MS, CCC-SLP (OWNER/LEAD THERAPIST)
(512) 550-6857
Entity
Organization
Contact information
Practice address
711 W 38TH ST BLDG F2, AUSTIN, TX 78705-1121
(512) 550-6857
Mailing address
711 W 38TH ST BLDG F2, AUSTIN, TX 78705-1121
(512) 550-6857
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
05/11/2020
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