Alexis Broussard Blanchard
Speech-Language Pathologist, in Lafayette, LA. Individual provider (NPI-1).
NPI number1114665387
StatusActive
Last updated in NPPESMay 26, 2022
Details
- NPI
- 1114665387
- Entity type
- Individual (NPI-1)
- Name
- Alexis Broussard Blanchard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2022
- Certification date
- Sep 22, 2021
- Last updated
- May 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 8228 | LA | Yes |
Practice location
113 Chaplin DrLafayette, LA 70508-2101
Phone 337-521-7000
Mailing address
4264 Beau RdMaurice, LA 70555-3748
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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