KELLI BROUSSARD (NPI# 1972772077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972772077 |
| Entity Type | Individual |
| Full Name | KELLI BROUSSARD |
| Credential | S.L.P. |
| Practice Address |
711 W 38th St Bldg F2 Austin TX 78705 |
| Mailing Address |
11216 Della Torre Dr Austin TX 78750-2810 |
| Practice Telephone | 5127555058 |
| Practice Fax Number | 8339640174 |
| Mailing Telephone | 5125506857 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 100265 | TX | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10226 Kennewick Dr, Houston, TX 770645170 | 2814510033 | |
| 11216 Della Torre Dr, Austin, TX 787502810 | 5125506857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063954493 | Kelli Broussard | Counselor | 315 S College Rd, Lafayette, LA 70503-3212 | 2016-11-16 |
| Street Address |
711 W 38TH ST BLDG F2 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255990727 | Austin Speech Pathology, Pllc | Speech-Language Pathologist | 711 W 38th St Bldg F2, Austin, TX 78705-1121 | 2019-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1477153815 | Into Words Therapy Pllc | Speech-Language Pathologist | 11501 Oak Knoll Dr, Austin, TX 78759-3802 | 2020-10-26 |
| 1174122618 | Thoughtful Slp, Pllc | Speech-Language Pathologist | 7806 Copperas Dr, Austin, TX 78749-3807 | 2020-10-24 |
| 1255938643 | Ashley Rocha | Speech-Language Pathologist | 293 Cistern Way, Austin, TX 78737-1701 | 2020-10-08 |
| 1790392918 | Madison Haley Houston | Speech-Language Pathologist | 5400 W Parmer Ln Apt 1623, Austin, TX 78727-3922 | 2020-09-30 |
| 1356952337 | Jordan Dru Moore | Speech-Language Pathologist | 2709 Francisco St Unit B, Austin, TX 78702-3920 | 2020-08-12 |
| 1700497070 | Tracy George Thottam | Speech-Language Pathologist | 3607 Menchaca Rd, Austin, TX 78704-5947 | 2020-08-11 |
| 1184234759 | Sarah Marie Stancey | Speech-Language Pathologist | 12013 Mira Mesa Dr, Austin, TX 78732-2138 | 2020-08-07 |
| 1396354080 | Hear for You Speech-language Pathology | Speech-Language Pathologist | 8922 Menchaca Rd Unit 404, Austin, TX 78748-5314 | 2020-07-28 |
| 1275141715 | Leslie Anne Morris | Speech-Language Pathologist | 1007 Milam Pl, Austin, TX 78704-2629 | 2020-07-21 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.