Gabrielle Marie Broussard, MA, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

118242 Issued in TX

Practice address

1110 Enclave Pkwy
Houston, TX 77077-1606

Phone

(832) 593-6767

NPI assigned

Jul 7, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speech Emporium Inc

  • Occupational Therapist
  • Cypress, TX
  • NPI 1588677397

  Speech-Language Pathologist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1174194450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD STE 250",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294692",
            "telephone_number": "832-593-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ENCLAVE PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771606",
            "telephone_number": "832-593-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "GABRIELLE",
        "middle_name": "MARIE",
        "credential": "MA, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Broussard
• Clinton Broussard
• Crystal C Broussard
• Deonte Broussard, LPC
• Dwane Gerard Broussard, M.D.
• Heather Marie Broussard, LCSW
• James Dale Broussard Jr.
• Jaymee L Broussard, DC
• Joanita Yvette Broussard
• Kayla Broussard, LPC

• Speech-Language Pathologist in Houston, TX
• Providers in Houston, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.