SearchLouisiana235Z00000X

Thelma Broadhurst, MA, CCC-SLP

NPI 1588854079 · on the registry since 2007 · sole proprietor

Practice

Address
604 Marietta St.
Oak Grove, LA 71263
Phone
(318) 428-3659
Fax
(318) 428-3659

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-31

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 Louisiana