Shannon Broussalian, M.S., CCC-SLP
NPI #1538657101 in Granada Hills, California
Provider Information
- NPI Number
- 1538657101
- Entity Type
- Individual
- Name
- Shannon Broussalian, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Apr 28, 2018
- Last Updated
- Apr 28, 2018
Practice Location
- Address
- 11150 BERTRAND AVE
- City
- Granada Hills
- State
- California
- ZIP Code
- 91344-4005
- Phone
- (818) 915-1966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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