Donna Wilkinson Broden, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1842 Issued in TX

Practice address

1321 Rowan Ave
Dallas, TX 75223-3033

Phone

(214) 392-5776

Fax

(214) 821-6130

NPI assigned

May 29, 2009

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

Practice roles

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

• Claudy'S House for Developmentally Challenged Adults

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Dallas, TX
  • NPI 1518229384
  NPD (past) Authorized official

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1760617179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 ROWAN AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752233033",
            "telephone_number": "214-392-5776",
            "fax_number": "214-821-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 ROWAN AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752233033",
            "telephone_number": "214-392-5776",
            "fax_number": "214-821-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODEN",
        "first_name": "DONNA",
        "middle_name": "WILKINSON",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "1842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Viola Brock, CPNP
• Catherine Brockette, LPC
• Amanda Brocklebank
• Benjamin Patrick Brockman, LPC
• Andrew Brod, MD
• Genesis Broden
• Albert C Broders III, MD
• Samuel Fitzgerald Broders, MD
• Grace Elizabeth Brodie
• Brodsky & Weikum, Inc

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, 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 May 29, 2009; 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.