Meredith Broussard Sorokwasz, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

100745 Issued in TX

Practice address

10125 Andre Dr
Irving, TX 75063-5933

Phone

(214) 725-7991

NPI assigned

Mar 7, 2008

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

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1861662736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 ANDRE DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635933",
            "telephone_number": "214-725-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 ANDRE DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635933",
            "telephone_number": "214-725-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD SOROKWASZ",
        "first_name": "MEREDITH",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Broadhead, DNP, CRNA
• Adam C Brock, FNP
• Joel Brandon Brock, NP-C, DC
• Shalena Chantel Brock, LMSW
• Ted P. Bronson, M.D.
• Emma L Broussard, NONE
• Rebecca Broussard
• Candice Lynn Brown Addison, MD
• Brandon R Brown, D.D.S.
• Ciara A Brown, SLPA

• Speech-Language Pathologist in Irving, TX
• Providers in Irving, 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 Mar 7, 2008; 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.