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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. THELMA DIANE BROADHURST, MA, CCC-SLP

Active Sole Proprietor

MS. THELMA DIANE BROADHURST, MA, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in OAK GROVE, Louisiana. NPI 1588854079 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · OAK GROVE, LA

Registration Details

NPI Number
1588854079
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2007 (18.854098965284 yrs)
Last Updated
Jul 31, 2007
License
4265 (LA)
Sole Proprietor
Yes

Practice Information

Address
604 MARIETTA ST.
OAK GROVE, LA, 712630086
Browse LA providers · Browse ZIP 71263
Phone
3184283659
Fax
3184283659
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in OAK GROVE, LA

Name Credential NPI
CRYSTAL R MIDDLETON MA, CCC-SLP 1821187170
YULANDA YVETTE JOHNSON 1750680732
MRS. SAVANNA FAITH JONES M.S., P-SLP, CF-SLP 1437043452
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.