Amanda Lee Giguere-Broussard, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12127238 Issued in LA

Practice address

5801 Cameron St
Scott, LA 70583-5183

Phone

(337) 521-7710

NPI assigned

Mar 16, 2022

Last updated

Mar 16, 2022By the provider in NPPES

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

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1407504608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 CAYRET ST",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705835139",
            "telephone_number": "337-962-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 CAMERON ST",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705835183",
            "telephone_number": "337-521-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIGUERE-BROUSSARD",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "12127238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "algiguerebroussard@lpssonline.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5801 Cameron St",
            "city": "Scott",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705835183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "algiguerebroussard@lpssonline.com",
            "affiliation": "N",
            "address_1": "5801 Cameron St",
            "city": "Scott",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705835183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "algiguerebroussard@lpssonline.com",
            "affiliation": "N",
            "address_1": "5801 Cameron St",
            "city": "Scott",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705835183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Scott, LA
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• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.