Individual
MS. THELMA DIANE BROADHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
604 MARIETTA ST., OAK GROVE, LA 71263-0086
(318) 428-3659
(318) 428-3659
Mailing address
604 MARIETTA ST., P. O. BOX 86, OAK GROVE, LA 71263-0086
(318) 428-3659
(318) 428-3659
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4265
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1302082
—
LA
Enumeration date
07/31/2007
Last updated
07/31/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us