Individual
OLIVIA BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 N PARKERSON AVE, CROWLEY, LA 70526-3610
(337) 783-4670
Mailing address
203 VANS DR, LAFAYETTE, LA 70503-3341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9971
LA
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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