Generation Speech Therapy, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GENERATION SPEECH THERAPY, INC.

Practice address

11150 Bertrand Ave
Granada Hills, CA 91344-4005

Phone

(818) 915-1966

NPI assigned

Apr 28, 2018

Organization subpart

No

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

Authorized official

Name

Shannon Broussalian, M.S., CCC-SLPNPI 1538657101

Title

Owner/Speech-Langauge Pathologist

Phone

(818) 915-1966

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Broussalian, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Granada Hills, CA
  • NPI 1538657101
  NPD (past) Authorized official

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

{
    "created_epoch": "1524873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524873600000",
    "number": "1184112757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 BERTRAND AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 BERTRAND AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444005",
            "telephone_number": "818-915-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATION SPEECH THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-28",
        "last_updated": "2018-04-28",
        "status": "A",
        "authorized_official_last_name": "BROUSSALIAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGAUGE PATHOLOGIST",
        "authorized_official_telephone_number": "818-915-1966",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary John Lawson MD a Medical Corporation
• Sirun Gasparyan, PHARMD
• Ann Harding Geller, MA/CCC
• Oleg Geller, ARDMS
• Gems-Tens International
• Gentle Home Health
• Nune Nancy Gevoglanian
• Crystal Renee Gillespie, PA-C
• Wayne James Gilmour
• Sharon Gitman, R.P.T.

• Speech-Language Pathologist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2018; 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.