NPIMap

Organization Active NPI

Broussard Speech Therapy, Inc.

  • Speech-Language Pathologist
  • Lafayette, LA
National Provider Identifier
1962545772
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3685 Issued in LA
Legal business name
BROUSSARD SPEECH THERAPY, INC.
Practice address
100 Westmark Blvd Ste a
Lafayette, LA 70506-7344
Phone
(337) 989-9745
NPI assigned
Feb 14, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Bridget Broussard, MS,CCC-SLPNPI 1700928322
Title
Owner
Phone
(337) 989-9745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 3685 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

100 Westmark Blvd Ste a
Lafayette, LA 70506-7344

Mailing address

100 Westmark Blvd Ste a
Lafayette, LA 70506-7344
Phone (337) 989-9745

Other names 1

NPPES NPI Registry
  • Speech Language Specialists, Inc. Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962545772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESTMARK BLVD STE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067344",
            "telephone_number": "337-989-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTMARK BLVD STE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067344",
            "telephone_number": "337-989-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUSSARD SPEECH THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-989-9745",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "3685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Language Specialists, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.