Laura Gisclair Broussard, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116220 Issued in TX

Practice address

6910 Sandwedge Point CT
Spring, TX 77389-4007

Phone

(832) 881-1008

NPI assigned

Oct 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Laura Therese Gisclair Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1346882248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 SANDWEDGE POINT CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894007",
            "telephone_number": "832-881-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 SANDWEDGE POINT CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894007",
            "telephone_number": "832-881-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "LAURA",
        "middle_name": "GISCLAIR",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GISCLAIR",
            "middle_name": "THERESE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tylar Brooks
• Brookshire Brothers LTD (Brookshire Brothers Pharmacy)
• Clancy Omokhodion Bropleh
• Shada Broughton
• Crystal R Broussard, MD
• Lindsey Broussard
• Patricia S. Broussard, MS, LMFT
• Shawn D Broussard, R.PH
• Tiffany Roshwan Broussard
• Shannice Brown-Stokes

• Speech-Language Pathologist in Spring, TX
• Providers in Spring, 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 Oct 11, 2019; 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.