Search › California › 235Z00000X
Shannon Broussalian, M.S., CCC-SLP
NPI 1538657101 · on the registry since 2018
Practice
- Address
- 11150 Bertrand Ave
Granada Hills, CA 91344 - Phone
- (818) 915-1966
- Organisation at this address
- Generation Speech Therapy, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California