Alison Broussard, CCC-SLP is a 
Speech-language Pathologist based in Loreauville, Louisiana. Alison Broussard is licensed to practice in Louisiana (license number 4779) and her current practice location is 
109 Breck Street, Loreauville, Louisiana. She can be reached at her office (for appointments etc.) via phone at 
(337) 229-6632.
NPI number for Alison Broussard is 1073644233 and her current mailing address is Po Box 275, Loreauville, Louisiana. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073644233.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Alison Broussard | 
|---|
| Gender | Female | 
|---|
| Speciality | Speech-language Pathologist | 
|---|
| Location | 109 Breck Street, Loreauville, Louisiana | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1073644233
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 07/08/2007
 
		 
		 
Medical Identifiers
		Medical identifiers for Alison Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1073644233 | NPI | - | NPPES | 
| 1326739 | Medicaid | LA |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 235Z00000X | Speech-language Pathologist | 4779 (Louisiana) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alison Broussard is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Alison Broussard, CCC-SLP Po Box 275,
 Loreauville, LA 70552-0275
 Ph: (337) 229-6632
 | Alison Broussard, CCC-SLP 109 Breck Street,
 Loreauville, LA 70552-0275
 Ph: (337) 229-6632
 | 
		
		 
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