| Ms Thelma Diane Broadhurst, MA, CCC-SLP | |
|
604 Marietta St., Oak Grove, LA 71263-0086 | |
| (318) 428-3659 | |
| (318) 428-3659 |
| Full Name | Ms Thelma Diane Broadhurst |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 604 Marietta St., Oak Grove, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588854079 | NPI | - | NPPES |
| 1302082 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4265 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Thelma Diane Broadhurst, MA, CCC-SLP 604 Marietta St., P. O. Box 86, Oak Grove, LA 71263-0086 Ph: (318) 428-3659 | Ms Thelma Diane Broadhurst, MA, CCC-SLP 604 Marietta St., Oak Grove, LA 71263-0086 Ph: (318) 428-3659 |
Mrs. Savanna Faith Jones, M.S., P-SLP, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5445 Highway 2, Oak Grove, LA 71263 Phone: 318-428-4025 | |
Yulanda Yvette Johnson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 307 N Castleman St, Oak Grove, LA 71263 Phone: 318-428-3248 | |
Crystal R Middleton, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 208 Bonaire Dr, Oak Grove, LA 71263 Phone: 318-547-0572 |