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 |
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 |