Ms Thelma Diane Broadhurst, MA, CCC-SLP is a
Speech-language Pathologist based in Oak Grove, Louisiana. Ms Thelma Diane Broadhurst is licensed to practice in Louisiana (license number 4265) and her current practice location is
604 Marietta St., Oak Grove, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 428-3659.
NPI number for Ms Thelma Diane Broadhurst is 1588854079 and her current mailing address is 604 Marietta St., P. O. Box 86, Oak Grove, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588854079.
Healthcare Provider's Profile
Full Name | Ms Thelma Diane Broadhurst |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 604 Marietta St., Oak Grove, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588854079
- Provider Enumeration Date: 07/31/2007
- Last Update Date: 07/31/2007
Medical Identifiers
Medical identifiers for Ms Thelma Diane Broadhurst such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588854079 | NPI | - | NPPES |
1302082 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4265 (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. Ms Thelma Diane Broadhurst 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 |
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 |
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