Individual
BRIDGET BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WESTMARK BLVD STE A, LAFAYETTE, LA 70506-7344
(337) 989-9745
Mailing address
100 WESTMARK BLVD STE A, LAFAYETTE, LA 70506-7344
(337) 989-9745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3685
LA
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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