Individual
KELLY BROUSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
402 10TH ST SE, SUITE 700, CEDAR RAPIDS, IA 52403-2435
(319) 365-9439
(319) 365-9368
Mailing address
5325 E AVE NW, CEDAR RAPIDS, IA 52405-3245
(319) 390-3013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01534
IA
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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